Organization
DOLORES MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN SCOTT BURNSIDE M.D. (MEDICAL DIRECTOR)
(970) 882-7221
Entity
Organization
Contact information
Practice address
507 CENTRAL, DOLORES, CO 81323-0908
(970) 882-7221
(970) 882-4243
Mailing address
PO BOX 908, DOLORES, CO 81323-0908
(970) 882-7221
(970) 882-4243
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
32885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12635871
—
CO
Enumeration date
08/17/2006
Last updated
08/22/2020
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