Individual
DOLORES D TIONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
541 HOOVER DR, GRAND JUNCTION, CO 81504-5700
(970) 256-0066
Mailing address
541 HOOVER DR, GRAND JUNCTION, CO 81504-5700
(970) 256-0066
(970) 712-5420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24289345
—
CO
Enumeration date
09/08/2005
Last updated
10/09/2018
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