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Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
GRAND JUNCTION PRIMARY CARE IV, Grand Valley Primary Care Fruita
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
101 JURASSIC AVE UNIT B, FRUITA, CO 81521-7713
(970) 858-6677
(970) 858-6679
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
09/13/2021
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