Organization
FOUR CORNERS OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH OLBERT (ADMIN. ASSIST)
(970) 382-8800
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE # 105, DURANGO, CO 81301-7300
(970) 382-8800
(970) 382-0122
Mailing address
1 MERCADO ST STE 105, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O4021754
—
CO
Enumeration date
08/31/2006
Last updated
07/20/2026
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