Provider Demographics
NPI:1881644532
Name:CRYLEN, CURTIS E (MD)
Entity type:Individual
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First Name:CURTIS
Middle Name:E
Last Name:CRYLEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5890 W 13TH STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4821
Mailing Address - Country:US
Mailing Address - Phone:970-378-1000
Mailing Address - Fax:970-378-1899
Practice Address - Street 1:5890 W 13TH STREET
Practice Address - Street 2:SUITE 106
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4821
Practice Address - Country:US
Practice Address - Phone:970-378-1000
Practice Address - Fax:970-378-1899
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2010-12-13
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Provider Licenses
StateLicense IDTaxonomies
CO46959208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42030382Medicaid
CO42030382Medicaid