Organization
DIGESTIVE HEALTH ASSOCIATES PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA PEACOCK (BILLING MANAGER)
(970) 385-4022
Entity
Organization
Contact information
Practice address
2 BURNETT CT STE 100, DURANGO, CO 81301-3647
(970) 385-4022
(970) 385-4337
Mailing address
2 BURNETT CT STE 100, DURANGO, CO 81301-3647
(970) 385-4022
(970) 385-4337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
B65222
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100007417
RAILROAD MEDICARE
CO
05
—
9000150560
—
CO
Enumeration date
01/13/2006
Last updated
10/07/2024
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