Organization · Type 2 NPI

Primary Care Partners, Inc.

Sports Medicine (Family Medicine) Physician · Grand Junction, CO

NPI number 1417455403 Active

Practice location

3150 N 12th St
Grand Junction, CO 81506-2863

Call (970) 256-5201 Map

Fax (970) 256-5202

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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NPI record

NPI: 1417455403
Entity type: Organization (Type 2)
Issued: Jan 25, 2018
Last updated: Jan 4, 2022
Status: Active
Subpart: Yes of Primary Care Partners, Inc.

Other names

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Tabeguache Family & Sports Medicine · other name

Authorized official

Beverly J Clark
Credentialing Coordinator
(970) 254-2642

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417455403

Primary Care Partners, Inc.'s National Provider Identifier is 1417455403, issued on Jan 25, 2018. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Grand Junction, CO. The record was last updated on Jan 4, 2022.