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281 Sawyer Dr Ste 300 Durango CO 81303-3412 | |
| (970) 247-5702 | |
| (970) 375-7487 |
| Full Name | |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 281 Sawyer Dr Ste 300, Durango, Colorado |
| Authorized Official Name and Position | Theresa Anselmo (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Contact | 9703826180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
281 Sawyer Dr Ste 300 Durango CO 81303-3412 Ph: (970) 247-5702 | 281 Sawyer Dr Ste 300 Durango CO 81303-3412 Ph: (970) 247-5702 |
| NPI Number | 1992550966 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 8123563160 |
|---|---|
| Medicare Enrollment ID | O20240715000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992550966 | NPI | - | NPPES |
| Provider Name | Marjorie Cristol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134117484 PECOS PAC ID: 2668797028 Enrollment ID: I20170918000308 |
| Provider Name | Mackenzie A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997086 PECOS PAC ID: 8022415918 Enrollment ID: I20210920002110 |
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