Organization
SAN JUAN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J HORNBECK (OFF MGR)
(970) 240-6136
Entity
Organization
Contact information
Practice address
630 E STAR CT, MONTROSE, CO 81401-6702
(970) 240-0378
(970) 240-3346
Mailing address
816 S 5TH ST, MONTROSE, CO 81401-5765
(970) 249-3322
(970) 240-7976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620398YQUN
MEDICARE
CO
Enumeration date
07/19/2006
Last updated
03/17/2018
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