Individual
DR. JAMES GREGORY RABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7401 CHURCH RANCH BLVD, WESTMINSTER, CO 80021
(303) 282-4015
Mailing address
341 PALOMINO WAY, PO BOX 455, CRESTONE, CO 81131
(719) 256-4628
(719) 256-4628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01218197
—
CO
Enumeration date
08/04/2006
Last updated
08/01/2012
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