Organization
TRINIDAD FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MANTER MCFARLAND M.D. (MEDICAL DIRECTOR)
(719) 846-3305
Entity
Organization
Contact information
Practice address
1502 E MAIN ST, TRINIDAD, CO 81082-2014
(719) 846-3305
(719) 846-4922
Mailing address
1502 E MAIN ST, TRINIDAD, CO 81082-2014
(719) 846-3305
(719) 846-4922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22493
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24727032
—
CO
Enumeration date
02/26/2008
Last updated
02/26/2008
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