Organization
GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SEAGREN MD (MEDICAL DIRECTOR)
(970) 242-6600
Entity
Organization
Contact information
Practice address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 242-1070
Mailing address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 242-1070
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0551
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22458808
—
CO
01
—
P00170820
RRPTAN
CO
Enumeration date
01/17/2007
Last updated
12/31/2013
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