Organization
GRAND VALLEY OCULAR ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELL MARTIN (CREDENTIALING)
(970) 254-1686
Entity
Organization
Contact information
Practice address
1000 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8180
(970) 254-1686
Mailing address
2754 COMPASS DR, STE 170, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38177
CO
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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