institution
Family Medicine Clinic
General Practice Physician in Walsenburg, Colorado
NPI 1760675698

Family Medicine Clinic is a General Practice Physician based in Walsenburg, CO. Family Medicine Clinic practices in Walsenburg, CO. The NPI Number for Family Medicine Clinic is 1760675698 and holds a License No. 27053 (Colorado).

The current practice location address for Family Medicine Clinic is 100 W 4Th St, Walsenburg, CO and can be reached out via phone at 719-738-1164 and via fax at 719-738-3399.

Location: 100 W 4Th St, Walsenburg, CO, 81089-1910
institution
Provider Profile Details
NPI Number
1760675698
Provider Name
Family Medicine Clinic
Credential
Provider Entity Type
Organization
Address
100 W 4Th St, Walsenburg, CO, 81089-1910
Phone Number
719-738-1164
Fax Number
719-738-3399
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C444298 01 CO MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
100 W 4Th St
City
State
Zip
81089-1910
Phone Number
719-738-1164
Fax Number
719-738-3399
person
Provider Business Mailing Address Details
Address
100 W 4Th St
City
State
Zip
81089-1910
Phone Number
719-738-1164
Fax Number
719-738-3399
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
27053 (Colorado)
Definition
Definition to come...
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