Organization
DR DEBRA IRIZARRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA IRIZARRY (PROPRIETOR)
(719) 256-6600
Entity
Organization
Contact information
Practice address
46 CAMINO BACA GRANDE, 102, CRESTONE, CO 81131
(719) 256-6600
(719) 256-6600
Mailing address
PO BOX 749, CRESTONE, CO 81131-0749
(719) 256-6600
(719) 256-6600
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
46205
CO
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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