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Organization
NORTH FORK MEDICAL CLINIC PC
Active
Organization
NORTH FORK MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C. MEILNER MD (OWNER, AUTHORIZED OFFICIAL)
(970) 527-4103
Entity
Organization
Contact information
Practice address
225 MINNESOTA AVE, PAONIA, CO 81428
(970) 527-4103
(970) 527-5171
Mailing address
PO BOX 47, PAONIA, CO 81428-0047
(970) 527-4103
(970) 527-5171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
03/08/2016
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