Organization
INTEGRATIVE MEDICINE CLINIC
Active
Other names
Symbiotics
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GARTON MD (OWNER)
(970) 390-1397
Entity
Organization
Contact information
Practice address
960 CHAMBERS AVE, A-203, EAGLE, CO 81631
(970) 328-2044
(970) 328-0346
Mailing address
PO BOX 5379, EAGLE, CO 81631
(970) 328-2044
(970) 328-0346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40681
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96554347
—
CO
Enumeration date
01/07/2010
Last updated
01/07/2010
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