Organization
PAGOSA CARITAS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GALLOWAY MD (SOLE OWNER)
(970) 264-2218
Entity
Organization
Contact information
Practice address
103 PAGOSA ST., PAGOSA SPRINGS, CO 81147
(970) 264-2218
Mailing address
PO BOX 424, PAGOSA SPRINGS, CO 81147-0424
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
43171
CO
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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