Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fort Collins Youth Clinic

Organization Pediatrics Physician · NPI 1154918308

Fort Collins Youth Clinic provides Pediatrics Physician services in Fort Collins, Colorado. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1214 Oak Park Dr
Fort Collins, CO 80525-7302
Phone: (970) 267-9510
Fax: (970) 207-9967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1154918308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Fred — Executive Assistant · (970) 267-9510
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 7328, Loveland, CO 80537-0328

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