Organization
ST. MARY'S FAMILY MEDICINE RESIDENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHI DECKER (DEPARTMENT SECRETARY)
(970) 298-7408
Entity
Organization
Contact information
Practice address
2698 PATTERSON RD, GRAND JUNCTION, CO 81506-8818
(970) 298-7408
Mailing address
2698 PATTERSON RD, GRAND JUNCTION, CO 81506-8818
(970) 298-7408
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
TL0005527
CO
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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