Individual
DR. JUSTIN M. KAPTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 644-3237
(970) 644-3259
Mailing address
PO BOX 308, MONTROSE, CO 81401-3831
(970) 765-0818
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A136921
CA
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0056620
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
498737ZP83
MEDICARE B PTAN FOR DIAGNOSTIC RADIOLOGY ASSOCIATES
CO
01
—
P01655474
RAILROAD WORKERS MEDICARE FOR DIAGNOSTIC RADIOLOGY ASSOCIATES
—
Enumeration date
04/26/2011
Last updated
09/17/2019
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