Organization
PEACH VALLEY FAMILY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D HOISINGTON MD (PRESIDENT)
(970) 434-6542
Entity
Organization
Contact information
Practice address
3225 I-70 BUSINESS LOOP STE A4, CLIFTON, CO 81520-7687
(970) 434-6542
(970) 434-3327
Mailing address
3225 I-70 BUSINESS LOOP STE A4, CLIFTON, CO 81520-7687
(970) 434-6542
(970) 434-3327
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214-1043
AETNA
CO
01
—
52359
BCBS
CO
05
—
94550581
—
CO
Enumeration date
03/02/2006
Last updated
06/25/2010
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