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Organization

TAMARA K RICE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE MCGEE (ACCOUNT REPRESENTATIVE)
(970) 824-1088
Entity
Organization

Contact information

Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 824-1088
(970) 824-2700
Mailing address
1135 E HIGHWAY 40, CRAIG, CO 81625-1208
(970) 824-1088
(970) 824-2700

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36725
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01021877
CO
01
126782500
WYOMING MEDICAID
WY
Enumeration date
07/16/2008
Last updated
12/06/2010
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