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Organization

WESTERN SLOPE GERIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JOHANNA CLARK MD (OWNER)
(303) 912-7064
Entity
Organization

Contact information

Practice address
2754 COMPASS DR, #170, GRAND JUNCTION, CO 81506-8714
(303) 912-7064
Mailing address
2754 COMPASS DR, #170, GRAND JUNCTION, CO 81506-8714
(303) 912-7064

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
01/04/2012
Last updated
02/06/2012
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