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Organization
SOUTHWESTERN COLORADO EAR NOSE AND THROAT
Active
Organization
SOUTHWESTERN COLORADO EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M. SCHACKEL M.D. (PRESIDENT)
(970) 385-7272
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 205, DURANGO, CO 81301-7300
(970) 385-7272
(970) 385-7299
Mailing address
1 MERCADO ST, SUITE 205, DURANGO, CO 81301-7300
(970) 385-7272
(970) 385-7299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DR44598
CO
Other
Enumeration date
07/09/2006
Last updated
10/07/2014
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