Western Slope Geriatrics, Llc

NPI 1003186230 - Internal Medicine - 207RG0300X

NPI Details
NPI 1003186230
Enumeration Date 01/04/2012
Last Updated 02/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARY JOHANNA MARY
Position OWNER
Phone (303) 912-7064
Fax
Practice Location
2754 COMPASS DR
#170
GRAND JUNCTION CO, 81506-8714, US
Phone (303) 912-7064
Fax
Business Location
2754 COMPASS DR
#170
GRAND JUNCTION CO, 81506-8714, US
Phone (303) 912-7064
Fax
Toxanomy
Taxonomy Code 207RG0300X
License State
License Number
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According to our database, Western Slope Geriatrics, Llc NPI is 1003186230, taxonomy code is 207RG0300X Western Slope Geriatrics, Llc physically located at 2754 Compass Dr, Grand Junction CO, 81506-8714. NPI Number 1033115704 has the healthcare provider type.

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1003186230 NPI number is provided on an as is basis without warranty of any kind. 1003186230 is maintained by the National Plan & Provider Enumeration System. The contents of Western Slope Geriatrics, Llc are for informational purposes only.