Organization
PRIMARY CARE PARTNERS, INC.
Active
Parent organization
PRIMARY CARE PARTNERS, INC.
Other names
Tabeguache Family & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PARTNERS, INC.
Authorized official
BEVERLY J CLARK (CREDENTIALING COORDINATOR)
(970) 254-2642
Entity
Organization
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 256-5201
(970) 256-5202
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 254-2642
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/04/2022
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