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NPI Code Detail

MEDICARE: DR. CHELSEA DIANNE GAWRYLETZ DO

MEDICARE: DR. CHELSEA DIANNE GAWRYLETZ 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
1207RX0202XMedical Oncology PhysicianDR.0060206CO
2207R00000XInternal Medicine PhysicianR1925AZ

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 : 1801180351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHELSEA DIANNE GAWRYLETZ DO
Provider Business Mailing Address
First Line : 2121 E HARMONY RD UNIT 170
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3413
Country : US
Telephone Number : 970-493-6337
Fax Number : 970-493-3528
Provider Business Practice Location Address
First Line : 2121 E HARMONY RD UNIT 170
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3413
Country : US
Telephone Number : 970-493-6337
Fax Number : 970-493-3528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 02/03/2026

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