# DESERT RIVER FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023773611
- **Authorized official:** TARA L ROBICHEAUX (BUSINESS MANAGER)
- **Authorized official phone:** (719) 285-8890

## Contact information

- **Practice address:** 1335 PHAY AVE STE A, CANON CITY, CO 81212-2349
- **Practice address phone:** (719) 285-8890
- **Mailing address:** 1335 PHAY AVE STE A, CANON CITY, CO 81212-2349
- **Mailing address phone:** (719) 285-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 05/07/2025