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Organization

MORGAN COMMUNITY WALK- IN CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAFTU GEBREHIWOT M.D (OWNER)
(970) 867-0662
Entity
Organization

Contact information

Practice address
411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
(970) 867-0662
(970) 867-0917
Mailing address
411 MAIN ST STE 203, FORT MORGAN, CO 80701-2136
(970) 867-0662
(970) 867-0917

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
46877
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28921895
CO
Enumeration date
03/23/2009
Last updated
06/23/2009
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