Healthcare Provider Details

I. General information

NPI: 1750371399
Provider Name (Legal Business Name): CAROLYN ELIZ ALBRITTON - MCDONALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN E ALBRITTON MCDONALD MD

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 MAIN ST STE 100
WINDSOR CO
80550-5559
US

IV. Provider business mailing address

PO BOX 787
BIG PINEY WY
83113
US

V. Phone/Fax

Practice location:
  • Phone: 970-686-3950
  • Fax: 970-686-3960
Mailing address:
  • Phone: 307-276-3306
  • Fax: 307-276-3024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9101A
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37972
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: