Individual
IVAN S ALKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 N 7TH ST, GRAND JCT, CO 81501
(970) 241-8782
Mailing address
2345 N 7TH ST, GRAND JCT, CO 81501
(970) 241-8782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22381
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223817
—
CO
01
—
AL02911
BC BS
CO
Enumeration date
10/26/2006
Last updated
08/07/2008
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