Individual
DR. DORY B FUNK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 BURGESS ST, DELTA, CO 81416-2849
(970) 874-7668
(970) 874-0708
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-7668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32321
CO
207R00000X
Internal Medicine Physician
Primary
32321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323211
—
CO
Enumeration date
03/08/2007
Last updated
09/27/2021
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