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Organization

ROBERT J VAN GEMERT M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT JOSEPH VAN GEMERT M.D. (OWNER)
(970) 249-6670
Entity
Organization

Contact information

Practice address
1804 E PAVILION PLACE, MONTROSE, CO 81401
(970) 249-6670
(970) 252-1372
Mailing address
1804 E PAVILION PLACE, MONTROSE, CO 81401
(970) 249-6670
(970) 252-1372

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13585223
CO
01
DD7422
RAILROAD MEDICARE GROUP #
CO
01
RO 666431
BLUE CROSS GROUP NUMBER
CO
Enumeration date
09/22/2006
Last updated
05/09/2011
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