Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley ENT & Facial Plastic Surgeons Fruita
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 644-3800
(970) 644-3946
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 263-2619
(970) 263-2619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
05/15/2025
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