Organization
AGAPE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALLEN SEVERANCE (OFFICE MANAGER)
(970) 257-7116
Entity
Organization
Contact information
Practice address
2139 N 12TH ST, UNIT 4, GRAND JUNCTION, CO 81501-2901
(970) 257-7116
(970) 257-7119
Mailing address
2139 N 12TH ST, UNIT 4, GRAND JUNCTION, CO 81501-2901
(970) 257-7116
(970) 257-7119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34092
CO
Other
Enumeration date
01/02/2008
Last updated
06/25/2010
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