Individual
PATRICK HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 245-1220
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 245-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2023-0466
NM
207Q00000X
Family Medicine Physician
TL.0008373
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008373
CO
Other
Enumeration date
04/20/2020
Last updated
10/16/2024
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