| Dolores Tiongco Md Pc | |
|
2345 N 7th St Grand Junction CO 81501-8117 | |
| (970) 256-0066 | |
| (970) 256-7723 |
| Full Name | Dolores Tiongco Md Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2345 N 7th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Dolores Tiongco (OWNER) |
| Authorized Official Contact | 9702560066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolores Tiongco Md Pc 2345 N 7th St Grand Junction CO 81501-8117 Ph: (970) 256-0066 | Dolores Tiongco Md Pc 2345 N 7th St Grand Junction CO 81501-8117 Ph: (970) 256-0066 |
| NPI Number | 1528099280 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/02/2007 |
| Medicare PECOS PAC ID | 1759385628 |
|---|---|
| Medicare Enrollment ID | O20060907000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528099280 | NPI | - | NPPES |
| 12073822 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 38987 (Colorado) | Primary |
| Provider Name | Dolores D Tiongco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821082546 PECOS PAC ID: 2466462460 Enrollment ID: I20060504000203 |
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