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NPI Code Detail

MEDICARE: FAMILY PHYSICIANS OF WINDSOR

MEDICARE: FAMILY PHYSICIANS OF WINDSOR
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
1261QP2300XPrimary Care Clinic/Center

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 : 1891723466
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PHYSICIANS OF WINDSOR
Provider Business Mailing Address
First Line : 1441 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5989
Country : US
Telephone Number : 970-587-4974
Fax Number :
Authorized Official
Title or Position : SR VICE PRESIDENT FINANCE
Name : DENNIS DAHLEN
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 06/30/2006
Last Update Date : 10/22/2007

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Directions to “FAMILY PHYSICIANS OF WINDSOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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