| Dr Mark Camden Loury, MD | |
|
2001 S Shields St Ste E101, Fort Collins, CO 80526-1872 | |
| (970) 493-5334 | |
| (970) 493-3727 |
| Full Name | Dr Mark Camden Loury |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2001 S Shields St Ste E101, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003889353 | NPI | - | NPPES |
| 01332741 | Medicaid | CO | |
| 040007458 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 33274 (Colorado) | Primary |
| 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 Mark Camden Loury, MD 2001 S Shields St Ste E101, Fort Collins, CO 80526-1872 Ph: (970) 493-5334 | Dr Mark Camden Loury, MD 2001 S Shields St Ste E101, Fort Collins, CO 80526-1872 Ph: (970) 493-5334 |
Eric Mason, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St # F01, Fort Collins, CO 80524 Phone: 970-498-2903 | |
Christopher Mark Eriksen, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 E Elizabeth St, F-101, Fort Collins, CO 80524 Phone: 970-221-1177 Fax: 970-416-1969 | |
Dr. Thomas Alexander Mcknight, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524 Phone: 970-498-2903 | |
Dr. Matthew Lee Robertson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St, #f-101, Fort Collins, CO 80524 Phone: 970-221-1177 | |
Bruce Michael Smith, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528 Phone: 970-484-6373 Fax: 970-484-0382 | |
Dr. Stephen Michael Wold, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524 Phone: 970-221-1177 Fax: 970-484-5990 |