Organization
COLUMBINE PHYSICIAN COVERAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BERKOSKY MD (MEMBER)
(970) 778-6708
Entity
Organization
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 1129, DELTA, CO 81416-1129
(970) 874-2470
(970) 874-2475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24338
CO
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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