Individual
GERALD WAYNE GRIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2005
Mailing address
PO BOX 278, RICO, CO 81332-0278
(970) 967-7201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19403
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194034
—
CO
Enumeration date
12/13/2006
Last updated
07/08/2007
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