Organization
CORTEZ MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JORDAN (OFFICE MANAGER)
(970) 565-8556
Entity
Organization
Contact information
Practice address
33 N ELM ST, CORTEZ, CO 81321-3105
(970) 565-8556
(970) 564-1134
Mailing address
33 N ELM ST, CORTEZ, CO 81321-3105
(970) 565-8556
(970) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04913042
—
CO
Enumeration date
11/01/2006
Last updated
08/22/2020
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