Healthcare Provider Details

I. General information

NPI: 1801842463
Provider Name (Legal Business Name): CONTEMPORARY CARE FOR WOMEN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 61ST AVE
GREELEY CO
80634-7989
US

IV. Provider business mailing address

1715 61ST AVE
GREELEY CO
80634-7989
US

V. Phone/Fax

Practice location:
  • Phone: 970-336-1500
  • Fax: 970-336-1505
Mailing address:
  • Phone: 970-336-1500
  • Fax: 970-336-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEWART M ABBOT
Title or Position: OWNER/MANAGER
Credential: M.D.
Phone: 970-336-1500