Organization
WALSEN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA VIGIL (RECEPTIONIST BILLING)
(719) 738-3164
Entity
Organization
Contact information
Practice address
711 WALSEN AVE STE B, WALSENBURG, CO 81089-2406
(719) 738-3164
(719) 738-3165
Mailing address
711 WALSEN AVE. SUITE B, WALSENBURG, CO 81089
(719) 738-3164
(719) 738-3165
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/05/2008
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