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Dr Debra Irizarry
Medical Specialty Clinic/Center in Crestone, Colorado
NPI 1063727444

Dr Debra Irizarry is a Medical Specialty Clinic/Center based in Crestone, CO and is specialized in Medical Specialty. Dr Debra Irizarry practices in Crestone, CO. The NPI Number for Dr Debra Irizarry is 1063727444 and holds a License No. 46205 (Colorado).

The current practice location address for Dr Debra Irizarry is 46 Camino Baca Grande, Crestone, CO and can be reached out via phone at 719-256-6600 and via fax at 719-256-6600.

Location: 46 Camino Baca Grande, Crestone, CO, 81131-0749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063727444
Provider Name
Dr Debra Irizarry
Credential
Provider Entity Type
Organization
Address
46 Camino Baca Grande, Crestone, CO, 81131-0749
Phone Number
719-256-6600
Fax Number
719-256-6600
Provider Enumeration Date
08/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
46 Camino Baca Grande
City
Crestone
State
Colorado
Zip
81131
Phone Number
719-256-6600
Fax Number
719-256-6600
person
Provider Business Mailing Address Details
Address
46 Camino Baca Grande
City
Crestone
State
Colorado
Zip
81131
Phone Number
719-256-6600
Fax Number
719-256-6600
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
46205 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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