Organization
SURFACE CREEK FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K JONES (AUTHORIZED OFFICIAL)
(970) 856-3146
Entity
Organization
Contact information
Practice address
233 COTTONWOOD ST, DELTA, CO 81416-4400
(970) 856-3146
Mailing address
255 SW 8TH AVE, CEDAREDGE, CO 81413-3902
(970) 856-3146
(970) 856-4385
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43282067
—
CO
05
—
9000145531
—
CO
Enumeration date
06/04/2006
Last updated
11/17/2020
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