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Organization
FAMILY AND SPORTS MEDICINE CLINIC LLC
Active
Organization
FAMILY AND SPORTS MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN ROBERT GERSHON JR. DO (OWNER)
(970) 243-8524
Entity
Organization
Contact information
Practice address
321 ROOD AVE, GRAND JUNCTION, CO 81501-2451
(970) 243-8524
(970) 263-8427
Mailing address
321 ROOD AVE, GRAND JUNCTION, CO 81501-2451
(970) 243-8524
(970) 263-8427
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06386261
—
CO
Enumeration date
09/08/2008
Last updated
03/28/2014
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