Organization
GRAND JUNCTION GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA JACOBSON (PRACTICE ADMINISTRATOR)
(970) 257-6902
Entity
Organization
Contact information
Practice address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 241-8443
Mailing address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 242-1070
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303684
—
CO
05
—
01342740
—
CO
05
—
35129549
—
CO
05
—
68804059
—
CO
05
—
93503300
—
CO
01
—
CK9301
RRPTAN
CO
01
—
P00001798
RRPTAN
CO
01
—
P00001800
RRPTAN
CO
01
—
P00403557
RRPTAN
CO
01
—
P00658273
RRPTAN
CO
Enumeration date
06/04/2006
Last updated
09/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us