Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
GRAND JUNCTION PRIMARY CARE IV, Grand Valley Primary Care Fruita
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
101 JURASSIC AVE UNIT B, FRUITA, CO 81521-7713
(970) 858-6677
(970) 858-6679
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
09/13/2021
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