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Organization
GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC
Active
Organization
GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SEAGREN MD (MEDICAL DIRECTOR)
(970) 242-6600
Entity
Organization
Contact information
Practice address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 242-1070
Mailing address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 242-1070
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0551
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22458808
—
CO
01
—
P00170820
RRPTAN
CO
Enumeration date
01/17/2007
Last updated
12/31/2013
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