Dr. Grace C Fan
MD | Pediatric Emergency Medicine | Female
Dr. Grace C Fan, MD is a Longmont, Colorado based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Grace C Fan is
1925 W Mountain View Ave, Longmont, Colorado - 80501-3128. She can be contacted on phone at
303-776-1234 and fax number 720-494-3107.
Dr. Grace C Fan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Grace C Fan is
1871598276 which was assigned by NPPES on 14 Jun, 2005 and it was last updated on 17 Mar, 2018.
Dr. Grace C Fan license number is
DR.0030740 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Colorado.
Dr. Grace C Fan has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Grace C Fan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Grace C Fan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Grace C Fan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1925 W Mountain View Ave
Longmont, CO, 80501-3128
United States |
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| Phone Number : | 303-776-1234 |
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| Fax Number : | 720-494-3107 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871598276 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2005 |
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| Last Updated On : | 17 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Grace C Fan are as mentioned. Primary taxonomy code for Dr. Grace C Fan, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 30740 | CO |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | DR.0030740 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Grace C Fan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01307404 | MEDICAID | CO | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1925 W MOUNTAIN VIEW AVE,
LONGMONT, CO, 80501-3128
United States | LONGMONT, CO | 303-776-1234 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 110429
Aurora, CO, 80042-0429
United States |
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| Phone Number : | 303-493-7000 |
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Business Location:
Patients can refer following map for directions to
Dr. Grace C Fan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.