Organization
THE PAGOSA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GRIEGO (COMMUNICATION DIRECTOR)
(970) 372-0456
Entity
Organization
Contact information
Practice address
27B TALISMAN DR UNIT 3, PAGOSA SPGS, CO 81147-8114
(970) 372-0456
(888) 974-3247
Mailing address
27B TALISMAN DR UNIT 3, PAGOSA SPGS, CO 81147-7914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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