Organization
FOUR CORNERS HEART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LAU (DIRECTOR OF ACCOUNTS RECEIVABLE)
(303) 295-8737
Entity
Organization
Contact information
Practice address
1800 E 3RD AVE, SUITE112, DURANGO, CO 81301-5016
(970) 247-1120
(970) 247-1128
Mailing address
1800 E 3RD AVE, SUITE 112, DURANGO, CO 81301-5016
(970) 247-1120
(970) 247-1128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023420
—
CO
Enumeration date
03/28/2006
Last updated
08/22/2020
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