Organization
PRIMARY CARE PARTNERS, INC.
Active
Parent organization
PRIMARY CARE PARTNERS, INC.
Other names
Western Colorado Pediatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PARTNERS, INC.
Authorized official
BEVERLY J CLARK (CREDENTIALING COORDINATOR)
(970) 254-2642
Entity
Organization
Contact information
Practice address
456 KOKOPELLI BLVD UNIT D, FRUITA, CO 81521-8723
(970) 243-5437
(970) 243-7792
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 254-2642
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
01/04/2022
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