Individual
GREGORY DARYL URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 N 1ST ST, GRAND JUNCTION, CO 81501-2102
(970) 255-1720
(970) 255-1745
Mailing address
1215 N 1ST ST, GRAND JUNCTION, CO 81501-2102
(970) 255-1720
(970) 255-1745
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
29673
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01296730
—
CO
05
—
04021788
—
CO
01
—
240006078
RAILROAD MEDICARE
CO
Enumeration date
10/17/2006
Last updated
01/13/2017
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