Eliza Gass, RDN | |
691 E Empire St, Cortez, CO 81321-2802 | |
(970) 565-7946 | |
(970) 565-9005 |
Full Name | Eliza Gass |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 691 E Empire St, Cortez, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104350164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86040023 (Colorado) | Primary |
Provider Name | Southwest Colorado Mental Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
Mailing Address | Practice Location Address |
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Eliza Gass, RDN 185 Suttle St, Durango, CO 81303-8276 Ph: (970) 729-0943 | Eliza Gass, RDN 691 E Empire St, Cortez, CO 81321-2802 Ph: (970) 565-7946 |
Miss Laura Anne White, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2276 | |
Jenny M Nuuttila, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2352 Fax: 970-564-2650 | |
Jared S Purcell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2104 Fax: 970-564-2134 |