Basic Information
| Provider Information | |||||||||
| NPI: | 1740471374 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUSGRAVE | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | MORGAN | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3519 RICHMOND DR | ||||||||
| Address2: | |||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805265995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702040300 | ||||||||
| FaxNumber: | 9702269041 | ||||||||
| Practice Location | |||||||||
| Address1: | 3519 RICHMOND DR | ||||||||
| Address2: | |||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805265995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702040300 | ||||||||
| FaxNumber: | 9702269041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2007 | ||||||||
| LastUpdateDate: | 03/07/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A-1643-11 | NM | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DR.0053132 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.