Organization
DINO-PEDS MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL CAMERON (OFFICE MANAGER)
(970) 242-7060
Entity
Organization
Contact information
Practice address
1190 BOOKCLIFF AVE, #104, GRAND JUNCTION, CO 81501-8133
(970) 242-7060
(970) 242-6198
Mailing address
1190 BOOKCLIFF AVE, #104, GRAND JUNCTION, CO 81501-8133
(970) 242-7060
(970) 242-6198
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP990086
CO
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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