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NPI Code Detail

MEDICARE: DR. ELLIE A WESTOVER DO

MEDICARE: DR. ELLIE A WESTOVER 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
1207V00000XObstetrics & Gynecology Physician56109CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156109OTHERCOLICENSE

General Provider Information

NPI Number : 1922366616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLIE A WESTOVER DO
Provider Business Mailing Address
First Line : 4700 LADY MOON DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-4426
Country : US
Telephone Number : 708-214-5009
Fax Number :
Provider Business Practice Location Address
First Line : 4700 LADY MOON DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-4426
Country : US
Telephone Number : 970-821-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 11/05/2025

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