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Organization

FAMILY MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE JOHNS (OFFICE MANAGER)
(970) 254-1686
Entity
Organization

Contact information

Practice address
3198 F RD STE 103, GRAND JUNCTION, CO 81504-4039
(970) 434-4891
Mailing address
3198 F RD STE 103, GRAND JUNCTION, CO 81504-4039

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04010195
CO
01
FAU3608
BLUE CROSS
CO
Enumeration date
06/02/2006
Last updated
08/07/2008
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