Organization
C T ARCHULETA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHOPE T ARCHULETA MD, LLC (MD)
(719) 383-0445
Entity
Organization
Contact information
Practice address
2215 SAN JUAN AVE, LA JUNTA, CO 81050-1081
(719) 383-0445
(719) 383-0448
Mailing address
PO BOX 1081, 2215 SAN JUAN AVE, LA JUNTA, CO 81050-1081
(719) 383-0445
(719) 383-0448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64034763
—
CO
Enumeration date
11/14/2006
Last updated
11/29/2007
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