Organization
SONAS IMC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE M BLANTON ANP (OWNER)
(970) 247-2500
Entity
Organization
Contact information
Practice address
555 S CAMINO DEL RIO, B2, DURANGO, CO 81303-6826
(970) 247-2500
(970) 247-2505
Mailing address
555 S CAMINO DEL RIO, B2, DURANGO, CO 81303-6826
(970) 247-2500
(970) 247-2505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
186468
CO
Other
Enumeration date
08/12/2010
Last updated
01/03/2014
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