Organization
TOTAL LIFE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY KING SNYDER JR. M.D. (OWNER/PROVIDER)
(719) 676-2273
Entity
Organization
Contact information
Practice address
4491 BENT BROS. BLVD, COLORADO CITY, CO 81019
(719) 676-2273
(719) 676-3297
Mailing address
PO BOX 19873, COLORADO CITY, CO 81019-0873
(719) 676-2273
(719) 676-3297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59422548
—
CO
Enumeration date
06/13/2006
Last updated
08/22/2020
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