Healthcare Provider Details

I. General information

NPI: 1942615471
Provider Name (Legal Business Name): ZACHARY DEVILBISS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3726 S TIMBERLINE RD STE 102
FORT COLLINS CO
80525-4332
US

IV. Provider business mailing address

4503 KIT DEN DR
FORT COLLINS CO
80524-6097
US

V. Phone/Fax

Practice location:
  • Phone: 443-370-9655
  • Fax:
Mailing address:
  • Phone: 443-370-9655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number60838
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number60838
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: