Organization
PRIMARY CARE PARTNERS, INC.
Active
Parent organization
PRIMARY CARE PARTNERS, INC.
Other names
Red Canyon Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PARTNERS, INC.
Authorized official
BEVERLY J CLARK (CREDENTIALING COORDINATOR)
(970) 254-2642
Entity
Organization
Contact information
Practice address
455 KOKOPELLI BLVD STE C, FRUITA, CO 81521-8710
(970) 256-5285
(970) 256-5290
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 254-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
01/04/2022
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