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455 Kokopelli Blvd Ste C Fruita CO 81521-8710 | |
(970) 256-5285 | |
(970) 256-5290 |
Full Name | |
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Speciality | Family Medicine |
Location | 455 Kokopelli Blvd Ste C, Fruita, Colorado |
Authorized Official Name and Position | Beverly J Clark (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 9702542642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 10700 Grand Junction CO 81502-5517 Ph: (970) 254-2642 | 455 Kokopelli Blvd Ste C Fruita CO 81521-8710 Ph: (970) 256-5285 |
NPI Number | 1972932622 |
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Provider Enumeration Date | 11/04/2013 |
Last Update Date | 01/04/2022 |
Identifier | Type | State | Issuer |
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1972932622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Harmony Hrt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 456 Kokopelli Blvd Unit B, Fruita, CO 81521 Phone: 970-639-2627 | |
Western Valley Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331 |