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321 E North St Cortez CO 81321-3230 | |
(970) 564-8177 | |
(970) 564-8179 |
Full Name | |
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Speciality | Family Medicine |
Location | 321 E North St, Cortez, Colorado |
Authorized Official Name and Position | Leonard W Cain (MD/OWNER) |
Authorized Official Contact | 9705648177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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321 E North St Cortez CO 81321-3230 Ph: (970) 564-8177 | 321 E North St Cortez CO 81321-3230 Ph: (970) 564-8177 |
NPI Number | 1225225600 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 12/08/2009 |
Identifier | Type | State | Issuer |
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1225225600 | NPI | - | NPPES |
01276815 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 | |