| |
731 Iowa Ave Suite A Palisade CO 81526 | |
(970) 644-4060 | |
(970) 644-3940 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 731 Iowa Ave, Palisade, Colorado |
Authorized Official Name and Position | Christian Thomas (PRESIDENT/CEO) |
Authorized Official Contact | 9706443011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1727 Grand Junction CO 81502-1727 Ph: (970) 644-4060 | 731 Iowa Ave Suite A Palisade CO 81526 Ph: (970) 644-4060 |
NPI Number | 1205473550 |
---|---|
Provider Enumeration Date | 12/05/2019 |
Last Update Date | 02/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205473550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |