# MESA FAMILY PRACTICE/JACOBO A. RUYBAL M.D.

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

## Provider details

- **NPI number:** 1255560454
- **Authorized official:** TAMARA RUYBAL (OFFICE MANAGER)
- **Authorized official phone:** (970) 243-1331

## Contact information

- **Practice address:** 2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
- **Practice address phone:** (970) 243-1331
- **Practice address fax:** (970) 243-9190
- **Mailing address:** 2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
- **Mailing address phone:** (970) 243-1331
- **Mailing address fax:** (970) 243-9190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24283 | CO | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 12/27/2010