| Mesa Family Practice/jacobo A. Ruybal M.d. | |
|
2231 N 7th St Grand Junction CO 81501-7434 | |
| (970) 243-1331 | |
| (970) 243-9190 |
| Full Name | Mesa Family Practice/jacobo A. Ruybal M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 2231 N 7th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Tamara Ruybal (OFFICE MANAGER) |
| Authorized Official Contact | 9702431331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Family Practice/jacobo A. Ruybal M.d. 2231 N 7th St Grand Junction CO 81501-7434 Ph: (970) 243-1331 | Mesa Family Practice/jacobo A. Ruybal M.d. 2231 N 7th St Grand Junction CO 81501-7434 Ph: (970) 243-1331 |
| NPI Number | 1255560454 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 12/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255560454 | NPI | - | NPPES |
| 01242833 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24283 (Colorado) | Primary |
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