MEDICARE: DR. CATHERINE CROSS

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
1	174M00000X	Veterinarian	5537	CO

General Provider Information

NPI Number	:	1376881730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE CROSS

Provider Business Mailing Address
First Line	:	1103 OAK PARK DR STE 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-6273
Country	:	US
Telephone Number	:	970-215-0673
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 OAK PARK DR STE 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-6273
Country	:	US
Telephone Number	:	970-215-0673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2013
Last Update Date	:	01/19/2013

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Directions to “ DR. CATHERINE CROSS ” Practice Location

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