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Individual

CAROLINE D DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1160 PATTERSON RD, GRAND JUNCTION, CO 81506-8275
(970) 298-2800
(970) 298-7522
Mailing address
1160 PATTERSON RD, PO BOX 62, GRAND JUNCTION, CO 81506-8275
(970) 298-2800
(970) 298-7522

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36429
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080152599
RAIL ROAD MEDICARE
CO
05
19333331
CO
01
642922
BC/BS ANTHEM COLORADO
CO
Enumeration date
07/03/2006
Last updated
04/04/2011
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