Organization
RIVERGATE ORTHOPEDICS AND ANIMAS UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ROBERT FORREST M.D. (OWNER/UROLOGIST)
(970) 247-0508
Entity
Organization
Contact information
Practice address
555 RIVERGATE STE B1-106, DURANGO, CO 81301-7478
(970) 247-0508
Mailing address
555 RIVERGATE STE B1-106, DURANGO, CO 81301-7478
(970) 247-0508
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41391
CO
Other
Enumeration date
06/11/2014
Last updated
11/26/2014
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