| Roaring Fork Family Practice | |
|
1906 Blake Avenue Glenwood Springs CO 81601-4227 | |
| (970) 963-3350 | |
| (970) 963-2958 |
| Full Name | Roaring Fork Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1906 Blake Avenue, Glenwood Springs, Colorado |
| Authorized Official Name and Position | Charles Crevling (CFO) |
| Authorized Official Contact | 9703846606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roaring Fork Family Practice 1906 Blake Ave Glenwood Springs CO 81601-4227 Ph: (970) 384-7033 | Roaring Fork Family Practice 1906 Blake Avenue Glenwood Springs CO 81601-4227 Ph: (970) 963-3350 |
| NPI Number | 1881290518 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881290518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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