Organization
DAVID W. TERRY
Active
Other names
Wingate Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W TERRY D.O. (OWNER)
(970) 254-9873
Entity
Organization
Contact information
Practice address
1300 N 7TH ST, SUITE 4, GRAND JUNCTION, CO 81501-3062
(970) 254-9873
(970) 254-9880
Mailing address
1300 N 7TH ST, SUITE 4, GRAND JUNCTION, CO 81501-3062
(970) 254-9873
(970) 254-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23358
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233584
—
CO
Enumeration date
03/23/2007
Last updated
08/22/2020
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