Organization

Pvhs-icm Health And Wellness, Llc

May also be knows as Woodward

Clinic/Center in Fort Collins, CO(View on Map)

Legal Business Name

Pvhs-icm Health And Wellness, Llc

Also Known As

Woodward

NPI Number

1023562030

NPI Type

Organization

Enumeration Date

08/08/2016

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3702 AUTOMATION WAY
3702 AUTOMATION WAY

City

Fort Collins
Fort Collins

State

CO
CO

Postal Code

80525-5737
80525-5737

Country

US
US

Telephone Number

(970) 495-6201
(970) 495-6201

Authorized Official

Name

Dr. James Sprowell

Title or Position

MD

Telephone Number

(970) 495-6201

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/08/2016

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