Organization
COMMUNITY MEDICAL GROUP, LLC
Active
Other names
Grand Valley Infectious Disease
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 242-0920
Entity
Organization
Contact information
Practice address
688 23 1/2 ROAD, SUITE 303, GRAND JUNCTION, CO 81505-8904
(970) 644-3820
(970) 644-3917
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 644-3820
(970) 644-3917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000174788
—
CO
Enumeration date
10/11/2018
Last updated
01/31/2024
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