Provider Demographics
NPI:1568483196
Name:ABBEY, DAVID MICHAEL (MS MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:ABBEY
Suffix:
Gender:M
Credentials:MS MD
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Other - First Name:
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Mailing Address - Street 1:1512 TEAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1954
Mailing Address - Country:US
Mailing Address - Phone:970-224-2063
Mailing Address - Fax:
Practice Address - Street 1:1100 POUDRE RIVER DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3500
Practice Address - Country:US
Practice Address - Phone:970-224-9508
Practice Address - Fax:970-224-1210
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO28169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01281690Medicaid
D25055Medicare UPIN
CO01281690Medicaid