Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley Women's Health Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
688 23 1/2 ROAD, SUITE 304, GRAND JUNCTION, CO 81505-8904
(970) 644-3190
(970) 644-3965
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-3190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000151916
—
CO
Enumeration date
03/13/2017
Last updated
01/31/2024
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