Full Name | |
---|---|
Speciality | Family Medicine |
Location | 211 North Roberts, Olathe, Colorado |
Authorized Official Name and Position | Karin Slater (CFO) |
Authorized Official Contact | 9702527901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2233 E Main St Montrose CO 81401-3831 Ph: (970) 249-3700 | 211 North Roberts Olathe CO 81425 Ph: (970) 323-6141 |
NPI Number | 1992037048 |
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Provider Enumeration Date | 01/31/2010 |
Last Update Date | 01/31/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992037048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2905 (Colorado) | Primary |