# COMMUNITY MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRAND VALLEY PRIMARY CARE III
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114564952
- **Authorized official:** CHRISTIAN THOMAS (PRESIDENT/CEO)
- **Authorized official phone:** (970) 644-3011

## Contact information

- **Practice address:** 2478 PATTERSON RD STE 27, GRAND JCT, CO 81505-3606
- **Practice address phone:** (970) 644-4300
- **Practice address fax:** (970) 263-4323
- **Mailing address:** PO BOX 1727, GRAND JUNCTION, CO 81502-1727
- **Mailing address phone:** (970) 644-4300
- **Mailing address fax:** (970) 263-4323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2019
- **Last updated:** 04/12/2021