MEDICARE: DR. HOLLY RAMPONE-GULDER D.AC, MS, L.AC

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	171100000X	Acupuncturist	0002209	CO

General Provider Information

NPI Number	:	1538618103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY RAMPONE-GULDER D.AC, MS, L.AC

Provider Business Mailing Address
First Line	:	2550 STOVER ST UNIT F
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4643
Country	:	US
Telephone Number	:	970-493-0025
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 STOVER ST UNIT F
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4643
Country	:	US
Telephone Number	:	970-493-0025
Fax Number	:

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

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	12/22/2021

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