Organization
GRAND MESA SPINE AND SPORT, LLC
Active
Other names
COLORADO INJURY AND PAIN SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
LEILANI HARMON (BILLING DIRECTOR)
(419) 843-1370
Entity
Organization
Contact information
Practice address
201 W PARK DR, GRAND JUNCTION, CO 81505-1469
(970) 242-0162
(970) 242-1097
Mailing address
7071 W CENTRAL AVE, TOLEDO, OH 43617-2700
(419) 843-1370
(419) 843-8402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/28/2015
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