Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 256-6200
Entity
Organization
Contact information
Practice address
601 28 1/4 RD UNIT B, GRAND JUNCTION, CO 81506-6022
(970) 263-2604
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
04/24/2020
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