Individual
GREGORY CHARLES SPONTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
515 28 3/4 RD, BUILDING A, GRAND JUNCTION, CO 81501-5016
(970) 263-8035
(970) 683-7280
Mailing address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 263-8035
(970) 683-7280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92404
CO
363LF0000X
Family Nurse Practitioner
Primary
5133
CO
364S00000X
Clinical Nurse Specialist
2580
CO
Other
Enumeration date
01/27/2008
Last updated
11/15/2010
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