Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
688 23 1/2 ROAD, SUITE 301, GRAND JCT, CO 81505-8904
(970) 644-4030
(970) 644-3914
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 644-4030
(970) 644-3914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190007
—
CO
Enumeration date
12/05/2019
Last updated
01/31/2024
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