Organization
MT ROSE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JEAN BORSA M.D. (OWNER)
(719) 846-8478
Entity
Organization
Contact information
Practice address
409 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082-0000
(719) 846-8478
(719) 846-2941
Mailing address
409 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082-0000
(719) 846-8478
(719) 846-2941
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
38779
CO
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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