Individual
CHARLES EATON PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38249
CO
207P00000X
Emergency Medicine Physician
MD2010-0108
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42682274
—
CO
05
—
89375751
—
NM
01
—
P00290341
RAILROAD MEDICARE PIN
CO
Enumeration date
08/17/2006
Last updated
03/17/2018
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