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Organization

HEALTH ELECTIVES AND LIFE OPTIONS

Active
Other names
Health Electives and Life Options
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD W CAIN (MD/OWNER)
(970) 564-8177
Entity
Organization

Contact information

Practice address
321 E NORTH ST, CORTEZ, CO 81321-3230
(970) 564-8177
(970) 564-8179
Mailing address
321 E NORTH ST, CORTEZ, CO 81321-3230
(970) 564-8177
(970) 564-8179

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01276815
CO
Enumeration date
09/28/2007
Last updated
12/08/2009
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