Brian Cronk is a Medical in Fort Collins, Colorado. Brian Cronk practices all healthcare services and medical treatments related to Medical. The NPI Number for Brian Cronk is 1760583785. The last update date is 2021-09-22.
Brian Cronk's current location address is 3702 S Timberline Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702079773 and fax number 9702071893. The mailing address for Brian Cronk is 3702 S Timberline Rd, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Cronk |
|---|---|
| Address | 3702 S Timberline Rd, Fort Collins, Colorado |
| Phone Number | 9702079773 |
| Fax Number | 9702071893 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760583785 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2021-09-22 |
Provider Mailing Address Detail
| Address | 3702 S Timberline Rd |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805253624 |
| Phone Number | 9702079773 |
| Fax Number | 9702071893 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 643 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2402359 | CO | -- |
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What is the unique identification code assigned to Brian Cronk by the Centers for Medicare & Medicaid Services?
The Brian Cronk has been issued the NPI (National Provider Identifier) 1760583785. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian Cronk?
The Brian Cronk is situated at 3702 S Timberline Rd, in the city of Fort Collins, state of CO, with the zip code 805253624.
What is Brian Cronk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian Cronk's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date was the 1760583785 assigned to Brian Cronk?
The Brian Cronk was issued its 1760583785 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Brian Cronk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brian Cronk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-09-22.
NPI Number: 1215930425
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