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Organization

DURANGO SPORTS CLUB, INC.

Active
Other names
Durango Sports Club Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE P JACKSON (ADMINISTRATIVE DIRECTOR)
(970) 385-6969
Entity
Organization

Contact information

Practice address
1600 FLORIDA RD, DURANGO, CO 81301-6836
(970) 385-6969
(970) 247-7810
Mailing address
1600 FLORIDA RD, DURANGO, CO 81301-6836
(970) 385-6969
(970) 247-7810

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37026
BLUE CROSS BLUE SHIELD
CO
Enumeration date
10/25/2006
Last updated
12/21/2007
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