Jd Wideman is a Family Medicine in Fort Collins, Colorado. Jd Wideman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jd Wideman is 1083817373. The last update date is 2014-09-17.
Jd Wideman's current location address is 3702 Automation Way, Fort Collins, Colorado. You can contact this provider via phone number 9702241670 and fax number 9704956218. The mailing address for Jd Wideman is 3702 Automation Way, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jd Wideman |
|---|---|
| Address | 3702 Automation Way, Fort Collins, Colorado |
| Phone Number | 9702241670 |
| Fax Number | 9704956218 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1083817373 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2014-09-17 |
Provider Mailing Address Detail
| Address | 3702 Automation Way |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805255737 |
| Phone Number | 9702241670 |
| Fax Number | 9704956218 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 47085 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CO303242 | CO | MEDICARE ID | |
| 61706078 | CO | -- |
Post Comment/ Review Below
What is the Jd Wideman's unique identification number?
The Jd Wideman has been assigned the NPI (National Provider Identifier) Number 1083817373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jd Wideman is geographically located?
The Jd Wideman is physically situated at the following location: 3702 Automation Way, Fort Collins, CO, 805255737.
What is the area of specialization for Jd Wideman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jd Wideman is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083817373 to Jd Wideman?
The Centers for Medicare & Medicaid Services originally issued the 1083817373 to Jd Wideman on 2007-06-06.
As of what date were the details pertaining to Jd Wideman last refreshed?
The information related to the Jd Wideman, including its address, specialty, and other relevant details, was last updated on 2014-09-17.
NPI Number: 1821080284
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