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 1336292622

Fort Collins Youth Clinic provides Pediatrics Physician services in Fort Collins, Colorado. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1200 E Elizabeth St
Fort Collins, CO 80524-4007
Phone: (970) 416-6286
Fax: (970) 482-2635
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 number1336292622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Fred — Executive Assistant · (970) 267-9510
NPI enumeratedJanuary 19, 2007
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 7328, Loveland, CO 80537-0328

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