Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colorado Medical Group, PLLC

Organization Surgery Physician · NPI 1467069120

Colorado Medical Group, PLLC is a Surgery Physician in Fort Collins, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3665 John F Kennedy Pkwy Ste 200
Fort Collins, CO 80525-3152
Phone: (800) 991-6117
Fax: (888) 812-8191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1467069120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Wazni — Chief Administration Officer · (800) 991-6117
Other names United Vein & Vascular Centers
NPI enumeratedSeptember 28, 2020
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address3810 Northdale Blvd Ste 150, Tampa, FL 33624-1871

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