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Individual

MRS. TARYN NICOLE MCGILVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 6TH ST, HUGO, CO 80821-2002
(719) 775-8662
(719) 775-8692
Mailing address
PO BOX 248, HUGO, CO 80821-0248
(719) 743-2421
(197) 432-3557

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10057640
TX
207Q00000X
Family Medicine Physician
Primary
DR.0072693
CO
207Q00000X
Family Medicine Physician
S5016
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1C8011
MEDICARE
TX
01
6N6060
MEDICARE
CO
Enumeration date
06/28/2016
Last updated
04/30/2026
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