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NPI Code Detail

MEDICARE: DR. CRYSTAL M NORTH DO

MEDICARE: DR. CRYSTAL M NORTH DO
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
1207RG0100XGastroenterology PhysicianDR.0044244CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00737929OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225299803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRYSTAL M NORTH DO
Provider Business Mailing Address
First Line : 3702 S TIMBERLINE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3624
Country : US
Telephone Number : 970-207-9773
Fax Number : 970-207-1893
Provider Business Practice Location Address
First Line : 2555 E 13TH ST STE 220
Second Line :
City : LOVELAND
State : CO
Zip : 80537-5136
Country : US
Telephone Number : 970-669-5432
Fax Number : 970-461-6275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2008
Last Update Date : 03/09/2026

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