Organization
JAY M. WOLKOV DO PC
Active
Other names
Gunnison Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE E. ANDERS (BILLING COORDINATOR)
(970) 641-1399
Entity
Organization
Contact information
Practice address
707 N IOWA ST, GUNNISON, CO 81230-2229
(970) 641-1771
(970) 641-9017
Mailing address
707 N IOWA ST, GUNNISON, CO 81230-2229
(970) 641-1771
(970) 641-9017
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04808093
—
CO
Enumeration date
10/11/2006
Last updated
04/29/2011
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