Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
GRAND VALLEY PRIMARY CARE III
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
2478 PATTERSON RD STE 27, GRAND JCT, CO 81505-3606
(970) 644-4300
(970) 263-4323
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 644-4300
(970) 263-4323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000159153
—
CO
Enumeration date
11/27/2019
Last updated
04/12/2021
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