OrganizationActive
Colorado Medical Group, PLLC
NPI 1467069120 · Vascular Surgery Physician · Fort Collins, CO
Provider details
- NPI number
- 1467069120
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ali Wazni, Chief Administration Officer(800) 991-6117
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
3665 John F Kennedy Pkwy Ste 200
Fort Collins, CO 80525-3152
Phone: (800) 991-6117
Fax: (888) 812-8191
Approximate (ZIP-level) locationGet directions
Mailing address
3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Other names (DBA / former)
- Doing business as
- United Vein & Vascular Centers
Registry dates
- Enumerated
- 2020-09-28
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.