Organization · Type 2 NPI
Family Medicine Clinic
General Practice Physician · Walsenburg, CO
NPI number
1760675698
Active
Practice location
100 W 4th St
Walsenburg, CO 81089-1910
Fax (719) 738-3399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 27053 (CO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
About NPI 1760675698
Family Medicine Clinic's National Provider Identifier is 1760675698, issued on Aug 23, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Walsenburg, CO. The record was last updated on Sep 20, 2016.