Individual
ANGELA KUZMINSKI GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 858-9894
(970) 858-1331
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186
(833) 476-0765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0043033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53334043
—
CO
Enumeration date
05/17/2006
Last updated
09/11/2023
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