Most Relevant Information
Provider Data
| NPI Number: | 1003274192 |
| Provider Name: | COLIN STRACK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 0004513 |
Most Important Dates
| Enumeration Date: | 02/03/2016 |
| Last Updated: | 09/22/2021 |
Provider Practice Location
2555 E 13TH ST STE 220
LOVELAND
CO
805375136
Practice Location Phone/Fax
| Phone: | 9706695432 |
| Fax: | 9702071893 |
Provider Mailing Location
3702 S TIMBERLINE RD STE A
FORT COLLINS
CO
805253625
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |