Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Surgical Associates of the Grand Valley Fruita
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (CFO/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 243-9340
(970) 241-6894
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 243-9340
(970) 970-2416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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