Individual
DR. KRISTINA GOUTSOULIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2596 F RD, GRAND JUNCTION, CO 81505-1443
(970) 254-3180
(970) 254-3198
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
DR.0061682
CO
207RX0202X
Medical Oncology Physician
Primary
DR.0061682
CO
Other
Enumeration date
06/27/2013
Last updated
07/16/2020
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