Dr. Fabio B Pivetta, DO
Family Medicine in Longmont, CO. Individual provider (NPI-1).
NPI number1023226503
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1023226503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fabio B Pivetta
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2007
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 39838 | CO | Yes |
Practice location
2345 Bent WayLongmont, CO 80503-7614
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
Phone 390-338-3382
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