Organization
THE PAGOSA MEDICAL GROUP LLC
Active
Organization
THE PAGOSA MEDICAL GROUP LLC
Active
Parent organization
THE PAGOSA MEDICAL GROUP LLC
Other names
Pagosa Medical Group Durango
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PAGOSA MEDICAL GROUP LLC
Authorized official
RHONDA L ASH (PRACTICE ADMINISTRATOR)
(970) 372-0456
Entity
Organization
Contact information
Practice address
215 E 12TH ST, DURANGO, CO 81301-5206
(970) 372-0456
Mailing address
27B TALISMAN DR UNIT 3, PAGOSA SPRINGS, CO 81147-7914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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