# WESTERN SLOPE FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pavilion Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699214130
- **Authorized official:** MISS CORENNA HOWARD (PRACTICE MANAGER)
- **Authorized official phone:** (207) 315-1595

## Contact information

- **Practice address:** 1804 E PAVILION PL, MONTROSE, CO 81401-5795
- **Practice address phone:** (970) 249-6770
- **Mailing address:** 1804 E PAVILION PL, MONTROSE, CO 81401-5795
- **Mailing address phone:** (207) 315-1595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR 0057738 | CO | Yes |

## Other

- **Enumeration date:** 02/16/2017
- **Last updated:** 12/13/2017