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1300 N 7th St Suite 4 Grand Junction CO 81501-3062 | |
| (970) 254-9873 | |
| (970) 254-9880 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 N 7th St, Grand Junction, Colorado |
| Authorized Official Name and Position | David W Terry (OWNER) |
| Authorized Official Contact | 9702549873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1300 N 7th St Suite 4 Grand Junction CO 81501-3062 Ph: (970) 254-9873 | 1300 N 7th St Suite 4 Grand Junction CO 81501-3062 Ph: (970) 254-9873 |
| NPI Number | 1528185998 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528185998 | NPI | - | NPPES |
| 01233584 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23358 (Colorado) | Primary |
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