Organization
ASPEN LEAF INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN KING M.D. (PRESIDENT)
(970) 242-4145
Entity
Organization
Contact information
Practice address
751 HORIZON CT STE 202, GRAND JUNCTION, CO 81506-8718
(970) 242-4145
(970) 242-4134
Mailing address
751 HORIZON CT STE 202, GRAND JUNCTION, CO 81506-8718
(970) 242-4145
(970) 242-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37446
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49959549
—
CO
Enumeration date
08/16/2007
Last updated
08/16/2007
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