Individual
JUSTIN WALPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2643 PATTERSON RD STE 401, GRAND JUNCTION, CO 81506-1937
(970) 298-3884
(370) 372-0995
Mailing address
2643 PATTERSON RD STE 401, GRAND JUNCTION, CO 81506-1937
(970) 298-3884
(370) 372-0995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R10054
IA
2086S0102X
Surgical Critical Care Physician
DR.0061901
CO
2086S0102X
Surgical Critical Care Physician
R10054
IA
2086S0127X
Trauma Surgery Physician
DR.0061901
CO
2086S0127X
Trauma Surgery Physician
R10054
IA
2086S0129X
Vascular Surgery Physician
DR.0061901
CO
2086S0129X
Vascular Surgery Physician
R10054
IA
Other
Enumeration date
06/11/2014
Last updated
09/01/2022
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