Organization
KIECA MD PLLC
Active
Other names
Grand Mesa Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KIECA CRAIG MD (OWNER)
(970) 856-3747
Entity
Organization
Contact information
Practice address
2050 SOUTH MAIN, UNIT B, DELTA, CO 81416
(970) 874-4473
(970) 874-8681
Mailing address
105 SE FRONTIER AVE, SUITE A-1, CEDAREDGE, CO 81413-4020
(970) 856-3747
(970) 856-4814
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
40224
CO
Other
Enumeration date
09/20/2007
Last updated
01/16/2008
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