| R.l.wallingford, M.d., Pllc | |
|
700 E Main St Montrose CO 81401-3975 | |
| (970) 249-1238 | |
| Not Available |
| Full Name | R.l.wallingford, M.d., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 E Main St, Montrose, Colorado |
| Authorized Official Name and Position | Richard Lee Wallingford (MANAGER) |
| Authorized Official Contact | 9702491238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.l.wallingford, M.d., Pllc 700 E Main St Montrose CO 81401-3975 Ph: (970) 249-1238 | R.l.wallingford, M.d., Pllc 700 E Main St Montrose CO 81401-3975 Ph: (970) 249-1238 |
| NPI Number | 1588968374 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588968374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 47328 (Colorado) | Primary |
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