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118 N Chestnut St Cortez CO 81321-3104 | |
(970) 564-9777 | |
(970) 564-8833 |
Full Name | |
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Speciality | Family Medicine |
Location | 118 N Chestnut St, Cortez, Colorado |
Authorized Official Name and Position | Shelley Jordan (OFFICE MANAGER) |
Authorized Official Contact | 9705649777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1297 Cortez CO 81321-1297 Ph: (970) 564-9777 | 118 N Chestnut St Cortez CO 81321-3104 Ph: (970) 564-9777 |
NPI Number | 1356429864 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1356429864 | NPI | - | NPPES |
72571322 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 41146 (Colorado) | Primary |
Southwest Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Park St, Cortez, CO 81321 Phone: 970-564-8730 | |