Organization
DOLORES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN BURNSIDE MD (MD)
(970) 882-7221
Entity
Organization
Contact information
Practice address
507 CENTRAL AVENUE, DOLORES, CO 81323
(970) 882-7221
Mailing address
P.O BOX 908, DOLORES, CO 81323
(970) 882-7221
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
NP 990365
CO
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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