Healthcare Provider Details

I. General information

NPI: 1235110602
Provider Name (Legal Business Name): ANTHONY A DOFT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 SPINNAKER BAY DR SUITE D
WINDSOR CO
80528-7533
US

IV. Provider business mailing address

1627 E 18TH ST
LOVELAND CO
80538-4209
US

V. Phone/Fax

Practice location:
  • Phone: 970-223-2272
  • Fax: 970-223-1304
Mailing address:
  • Phone: 970-663-0135
  • Fax: 970-461-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38227
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: