Organization
SALIDA FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY L FOGG (PRACTICE ADMINISTATOR)
(719) 539-3583
Entity
Organization
Contact information
Practice address
320 E 1ST ST, SALIDA, CO 81201
(719) 539-3612
(719) 539-3028
Mailing address
320 E 1ST ST, SALIDA, CO 81201-2802
(719) 539-3612
(719) 539-3028
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
06/14/2018
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