Robert R. Nystrom, D.O.

General Practice Physician · Greeley, CO

Individual Active NPI

NPI number 1902936107

Practice location

1900 16TH St
Greeley, CO 80631-5114
Phone
(970) 350-2471
Fax
(970) 350-2418

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NPI record

NPI
1902936107
Entity type
Individual (Type 1)
Enumeration date
March 6, 2007
Last updated
May 2, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 30464 CO
Family Medicine Physician 207Q00000X 30464 CO

About Dr. Nystrom

Robert R. Nystrom, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1900 16TH St, Greeley, CO 80631-5114. The NPI number 1902936107 was assigned on March 6, 2007 and the record was last updated on May 2, 2012.

Dr. Nystrom lists 2 licenses in the registry: #30464 (CO) for General Practice Physician; #30464 (CO) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert R. Nystrom, D.O.?

The NPI number is 1902936107.

What is the phone number of Dr. Nystrom?

The phone number listed for the practice location is (970) 350-2471.

Where is Dr. Nystrom located?

1900 16TH St, Greeley, CO 80631-5114.

What is the taxonomy code for Dr. Nystrom?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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