Healthcare Provider Details

I. General information

NPI: 1821992520
Provider Name (Legal Business Name): CAHILL SAM SHPALL MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 WEST LAKE ST ROOM 119
FORT COLLINS CO
80521-1570
US

IV. Provider business mailing address

1570 CAMPUS DELIVERY
FORT COLLINS CO
80523-1570
US

V. Phone/Fax

Practice location:
  • Phone: 970-491-5991
  • Fax:
Mailing address:
  • Phone: 970-491-5991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: