Individual
SARA JANE GAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2021 N 12TH ST, COMMUNITY HOSPITAL, GRAND JUNCTION, CO 81501-2980
(970) 242-0920
Mailing address
PO BOX 308, MONTROSE, CO 81402-0308
(970) 765-0818
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367002
—
CO
01
—
823669
ARIZONA MEDICAID
AZ
Enumeration date
07/14/2005
Last updated
02/09/2015
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