Organization
LA PLATA PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S WALLACH DO (OWNER)
(970) 403-3324
Entity
Organization
Contact information
Practice address
555 RIVERGATE LN STE B1-101, DURANGO, CO 81301-7470
(970) 403-3324
(833) 975-0954
Mailing address
555 RIVERGATE LN STE B1-101, DURANGO, CO 81301-7470
(970) 403-3324
(833) 975-0954
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
10/08/2024
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