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NPI Code Detail

MEDICARE: DR. ERIKA MCGRADY CRUTCHER DO

MEDICARE: DR. ERIKA MCGRADY CRUTCHER 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
1207Q00000XFamily Medicine PhysicianP4148TX
2207Q00000XFamily Medicine PhysicianDR0076233CO

General Provider Information

NPI Number : 1578830402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIKA MCGRADY CRUTCHER DO
Provider Business Mailing Address
First Line : 2025 BIGHORN RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3480
Country : US
Telephone Number : 970-449-0082
Fax Number :
Provider Business Practice Location Address
First Line : 2025 BIGHORN RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3480
Country : US
Telephone Number : 970-449-0082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2011
Last Update Date : 11/14/2025

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