NPI 1902936107

Robert R Nystrom, DO

Practitioner General Practice Physician Greeley, CO

Practice location

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

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 30464 (CO)

Other General Practice providers in Colorado →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 30464 (CO)

Other Family Medicine providers in Colorado →

Registry record

NPI: 1902936107
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2007
Record last updated: 2 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.