Organization
DEBORAH L CHADWICK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L CHADWICK MD (PHYSICIAN/OWNER)
(970) 874-8026
Entity
Organization
Contact information
Practice address
95 STAFFORD LN, DELTA, CO 81416-3465
(970) 874-8026
(970) 874-5430
Mailing address
PO BOX 1129, DELTA, CO 81416-1129
(970) 874-2470
(970) 874-7482
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41117
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32051026
—
CO
01
—
CH663005
BCBS
CO
Enumeration date
10/24/2006
Last updated
04/20/2008
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