| Dr George H Phillips, MD | |
|
2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | |
| (970) 669-9100 | |
| (970) 669-0400 |
| Full Name | Dr George H Phillips |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2500 Rocky Mountain Ave Ste 2200, Loveland, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285747857 | NPI | - | NPPES |
| 01287606 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 28760 (Colorado) | Primary |
| Entity Name | Rocky Mountain Lithotripter Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George H Phillips, MD 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 Ph: (970) 669-9100 | Dr George H Phillips, MD 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 Ph: (970) 669-9100 |
Kurt Strom, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1813 Cheyenne Ave, Loveland, CO 80538 Phone: 970-203-2475 Fax: 970-203-2476 | |
Dr. Michael J Eddy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3520 E 15th St, Suite 200, Loveland, CO 80538 Phone: 970-669-9100 Fax: 970-669-0400 | |
Bryan Jeremy Herzog, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2555 E 13th St, Loveland, CO 80537 Phone: 970-810-5675 Fax: 970-810-1899 | |
Dr. Gary R Goodman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3520 E 15th St, Suite 200, Loveland, CO 80538 Phone: 970-669-9100 Fax: 970-669-0440 |