Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Cardiovascular Disease Physician · Durango, CO

NPI number 1902463508 Active

Practice location

1970 E 3rd Ave Ste 1
Durango, CO 81301-5049

Call (970) 444-0260 Map

Fax (970) 444-0264

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Urology Physician 208800000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

12 other providers at this address

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About NPI 1902463508

San Juan Regional Medical Center Inc's National Provider Identifier is 1902463508, issued on May 20, 2019. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Durango, CO. The record was last updated on Jul 2, 2025.