Organization
RIVERGATE ORTHOPEDICS AND ANIMAS UROLOGY, PC
Active
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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