Individual
DR. AVIS SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2139 N 12TH ST, UNIT 4, GRAND JUNCTION, CO 81501-2910
(970) 257-7116
(970) 257-7119
Mailing address
2139 N 12TH ST, GRAND JUNCTION, CO 81501-2910
(970) 257-7116
(970) 257-7119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34092
CO
Other
Enumeration date
05/19/2006
Last updated
07/15/2010
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