Loury, Mark Camden

Loury, Mark Camden is an individual health care provider with primary practice located at 2001 S Shields St Ste E101 , Fort Collins CO 80526-1872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Loury, Mark Camden can be contacted via phone (970) 493-5334.

Contact Information

Primary practice address
2001 S Shields St Ste E101 Fort Collins CO 80526-1872
Phone: (970) 493-5334
Fax: (970) 493-3727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 33274 Colorado

Profile Details

NPI number 1003889353
LBN Legal business name Loury, Mark Camden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003889353 NPPES
Colorado MEDICAID 01332741
Colorado Other 040007458

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