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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE R VILLAVICENCIO, MD

Active

THEODORE R VILLAVICENCIO, MD is a Family Medicine healthcare provider located in CONIFER, Colorado. NPI 1366496366 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CONIFER, CO

Registration Details

NPI Number
1366496366
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2006 (20.051874847553 yrs)
Last Updated
Nov 9, 2011
License
31320 (CO)

Practice Information

Address
10791 KITTY DR
SUITE A
CONIFER, CO, 80433
Browse CO providers · Browse ZIP 80433
Phone
3038384686
Fax
3038164905
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CONIFER, CO

Name Credential NPI
DR. JAMES REX ALLBRIGHT M.D. 1982608345
DR. ANDREA LYNN WEBER M.D. 1003810482
DR. CHRISTINA LYNN PINSINSKI M.D. 1255335626
DR. ROBERT ERIC SARCHE M.D. 1144224528
MICHELLE WALLER PA 1275585978
DAVID D LINN MD 1275587271
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.