Organization
TRINIDAD REPRODUCTIVE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI L BOWERS, M. D. (OWNER)
(719) 846-6300
Entity
Organization
Contact information
Practice address
134 W MAIN ST, SUITE 11, TRINIDAD, CO 81082-2604
(719) 846-6300
(719) 846-9500
Mailing address
134 W MAIN ST, SUITE 11, TRINIDAD, CO 81082-2604
(719) 846-6300
(719) 846-9500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13070347
—
CO
01
—
82876827
NEW MEXICO MEDICAID
CO
01
—
NM009F55
NEW MEXICO BLUE CROSS
CO
Enumeration date
12/20/2010
Last updated
09/27/2011
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