| 10ksportsmed | |
|
Unit 101b 12 Snowmass Rd Crested Butte CO 81224-8046 | |
| (719) 293-4897 | |
| Not Available |
| Full Name | 10ksportsmed |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | Unit 101b, Crested Butte, Colorado |
| Authorized Official Name and Position | Joseph Douglas Yeakel (PRESIDENT) |
| Authorized Official Contact | 7192934897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 10ksportsmed Po Box 943 Leadville CO 80461-0943 Ph: () - | 10ksportsmed Unit 101b 12 Snowmass Rd Crested Butte CO 81224-8046 Ph: (719) 293-4897 |
| NPI Number | 1316184120 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316184120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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