| Douglas C. Shenk, M.d.,. P.c. | |
|
308 Bookcliff Ct Grand Junction CO 81501-2022 | |
| (970) 241-8097 | |
| Not Available |
| Full Name | Douglas C. Shenk, M.d.,. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 308 Bookcliff Ct, Grand Junction, Colorado |
| Authorized Official Name and Position | Douglas Carl Shenk (OWNER) |
| Authorized Official Contact | 9702418097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas C. Shenk, M.d.,. P.c. 308 Bookcliff Ct Grand Junction CO 81501-2022 Ph: (970) 241-8097 | Douglas C. Shenk, M.d.,. P.c. 308 Bookcliff Ct Grand Junction CO 81501-2022 Ph: (970) 241-8097 |
| NPI Number | 1619272648 |
|---|---|
| Provider Enumeration Date | 01/23/2011 |
| Last Update Date | 01/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619272648 | NPI | - | NPPES |
| 01221639 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22163 (Colorado) | Primary |
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