Organization
MESA FAMILY PRACTICE/JACOBO A. RUYBAL M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA RUYBAL (OFFICE MANAGER)
(970) 243-1331
Entity
Organization
Contact information
Practice address
2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
(970) 243-1331
(970) 243-9190
Mailing address
2231 N 7TH ST, GRAND JUNCTION, CO 81501-7434
(970) 243-1331
(970) 243-9190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24283
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242833
—
CO
Enumeration date
07/08/2009
Last updated
12/27/2010
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