Healthcare Provider Details

I. General information

NPI: 1245898113
Provider Name (Legal Business Name): CHRISTOPHER ANGLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E HARMONY RD STE 140
FORT COLLINS CO
80528-8620
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 970-484-6700
  • Fax: 970-484-5723
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0076839
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: