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NPI Code Detail

MEDICARE: DR. TRACY HAEFELE FLORANT MD

MEDICARE:  DR. TRACY HAEFELE FLORANT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician34787CO

General Provider Information

NPI Number : 1033142450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY HAEFELE FLORANT MD
Provider Business Mailing Address
First Line : 430 SPINNAKER LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 430 SPINNAKER LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5905
Country : US
Telephone Number : 970-988-8637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 05/24/2016

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Directions to “ DR. TRACY HAEFELE FLORANT MD” Practice Location

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