Individual
COSTA PETE ALIMONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0064826
CO
208M00000X
Hospitalist Physician
DR.0064826
CO
Other
Enumeration date
03/16/2017
Last updated
10/24/2024
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