Organization
R.L.WALLINGFORD, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE WALLINGFORD III M.D. (MANAGER)
(970) 249-1238
Entity
Organization
Contact information
Practice address
700 E MAIN ST, MONTROSE, CO 81401-3975
(970) 249-1238
Mailing address
700 E MAIN ST, MONTROSE, CO 81401-3975
(970) 249-1238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47328
CO
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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