Stefan M Pettine is a Surgery in Fort Collins, Colorado. Stefan M Pettine practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stefan M Pettine is 1396858650. The last update date is 2014-01-23.
Stefan M Pettine's current location address is 2121 E Harmony Rd, Fort Collins, Colorado. You can contact this provider via phone number 9704826456 and fax number 9704823921. The mailing address for Stefan M Pettine is 2121 E Harmony Rd, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan M Pettine |
|---|---|
| Address | 2121 E Harmony Rd, Fort Collins, Colorado |
| Phone Number | 9704826456 |
| Fax Number | 9704823921 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396858650 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2014-01-23 |
Provider Mailing Address Detail
| Address | 2121 E Harmony Rd |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805283400 |
| Phone Number | 9704826456 |
| Fax Number | 9704823921 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 39045 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15572358 | CO | -- |
Post Comment/ Review Below
What is the Stefan M Pettine's 1396858650?
The Stefan M Pettine's NPI (National Provider Identifier) Number is 1396858650. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stefan M Pettine?
The Stefan M Pettine is physically situated at 2121 E Harmony Rd, in the city of Fort Collins, state of CO, with the postal code 805283400.
What is Stefan M Pettine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stefan M Pettine is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396858650 to Stefan M Pettine?
The Stefan M Pettine received its 1396858650 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the information related to Stefan M Pettine most recently updated or refreshed?
The details pertaining to the Stefan M Pettine, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-23.
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