Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
INTERNAL MEDICINE ASSOCIATES OF THE GRAND VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 256-6200
Entity
Organization
Contact information
Practice address
607 28 1/4 RD, GRAND JUNCTION, CO 81506-6023
(970) 243-3300
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26155360
—
CO
05
—
9000124743
—
CO
Enumeration date
11/18/2013
Last updated
04/24/2020
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