Organization
ANIMAS SURGICAL HOSPITAL, LLC
Active
Other names
Animas Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
575 RIVERGATE, SUITE 204, DURANGO, CO 81301-7487
(970) 403-1340
(970) 403-1341
Mailing address
6330 S WESTERN AVE STE 150, SIOUX FALLS, SD 57108-3411
(888) 955-0501
(605) 274-6186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01M130
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01M130
LICENSE
CO
Enumeration date
08/06/2016
Last updated
01/16/2026
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