| Family And Sports Medicine Clinic Llc | |
|
321 Rood Ave Grand Junction CO 81501-2451 | |
| (970) 243-8524 | |
| (970) 263-8427 |
| Full Name | Family And Sports Medicine Clinic Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 321 Rood Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Julian Robert Gershon (OWNER) |
| Authorized Official Contact | 9702438524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Sports Medicine Clinic Llc 321 Rood Ave Grand Junction CO 81501-2451 Ph: (970) 243-8524 | Family And Sports Medicine Clinic Llc 321 Rood Ave Grand Junction CO 81501-2451 Ph: (970) 243-8524 |
| NPI Number | 1538317169 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538317169 | NPI | - | NPPES |
| 06386261 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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