Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT AND CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
603 28 1/4 RD, GRAND JUNCTION, CO 81506
(970) 263-2619
(970) 263-2691
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000154491
—
CO
Enumeration date
04/21/2009
Last updated
11/14/2024
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