Organization
BERNARD R PACINI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD RALPH PACINI MD (PRESIDENT)
(970) 243-2479
Entity
Organization
Contact information
Practice address
425 PATTERSON, SUITE 406, GRAND JCT, CO 81506-1910
(970) 243-2479
(970) 243-2481
Mailing address
425 PATTERSON, SUITE 406, GRAND JCT, CO 81506-1910
(970) 243-2479
(970) 243-2481
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22743
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227438
—
CO
Enumeration date
11/15/2005
Last updated
08/14/2007
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