Organization
DOLORES TIONGCO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOLORES TIONGCO MD (OWNER)
(970) 256-0066
Entity
Organization
Contact information
Practice address
2345 N 7TH ST, GRAND JUNCTION, CO 81501-8117
(970) 256-0066
(970) 256-7723
Mailing address
2345 N 7TH ST, GRAND JUNCTION, CO 81501-8117
(970) 256-0066
(970) 256-7723
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
38987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12073822
—
CO
Enumeration date
07/05/2006
Last updated
12/02/2007
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