Organization
REVIVE COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CAPLIN DO (MEDICAL DIRECTOR)
(709) 828-3030
Entity
Organization
Contact information
Practice address
72 SUTTLE ST UNIT M, DURANGO, CO 81303-6829
(970) 828-3030
Mailing address
72 SUTTLE ST UNIT M, DURANGO, CO 81303-6829
(970) 828-3030
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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