Mark Petrun in Fort Collins - Internal Medicine

Mark Petrun - NPI 1962472803

Mark Petrun is a Internal Medicine in Fort Collins, Colorado. Mark Petrun practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Petrun is 1962472803. The last update date is 2016-08-16.

Mark Petrun's current location address is 2121 E Harmony Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702249102 and fax number 9702249112. The mailing address for Mark Petrun is 2121 E Harmony Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Petrun
Address 2121 E Harmony Rd, Fort Collins, Colorado
Phone Number 9702249102
Fax Number 9702249112
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1962472803
Provider Enumeration Date 2006-01-24
Last Updated Date 2016-08-16

Provider Mailing Address Detail

Address 2121 E Harmony Rd
City Fort Collins
State Colorado (CO)
Post Code 805283400
Phone Number 9702249102
Fax Number 9702249112

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No DR.0024745
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1247451 CO --
104364100 WY --
290007464 CO RAILROAD MEDICARE

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FAQs about Mark Petrun

What is the unique 10-digit identification code issued to Mark Petrun by the Centers for Medicare & Medicaid Services?

The Mark Petrun has been assigned the NPI (National Provider Identifier) 1962472803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Mark Petrun is geographically located?

The Mark Petrun is physically situated at the following location: 2121 E Harmony Rd, Fort Collins, CO, 805283400.

What is Mark Petrun's area of expertise and its corresponding taxonomy classification?

The Mark Petrun's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mark Petrun receive its 1962472803 assignment from the Centers for Medicare & Medicaid Services?

The Mark Petrun was assigned its 1962472803 by the Centers for Medicare & Medicaid Services on 2006-01-24.

As of what date was the information regarding Mark Petrun, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Petrun, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-16.

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