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1311a N Mildred Rd Ste. A Cortez CO 81321 | |
(970) 564-2681 | |
(970) 564-2682 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1311a N Mildred Rd, Cortez, Colorado |
Authorized Official Name and Position | Travis Parker (CHIEF HUMAN RESOURCES OFFICER) |
Authorized Official Contact | 9705642163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1311 N Mildred Rd Cortez CO 81321-2231 Ph: (970) 564-2152 | 1311a N Mildred Rd Ste. A Cortez CO 81321 Ph: (970) 564-2681 |
NPI Number | 1235655838 |
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Provider Enumeration Date | 08/16/2017 |
Last Update Date | 06/20/2023 |
Identifier | Type | State | Issuer |
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1235655838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (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 | |