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

Fort Collins Youth Clinic

Organization Pediatrics Physician · NPI 1336292622

Fort Collins Youth Clinic is a Pediatrics Physician 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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