Ouray Family Medicine LLC
Family Medicine in Montrose, CO. Organization (NPI-2).
NPI number1790925501
StatusActive
Last updated in NPPESDec 28, 2016
Details
- NPI
- 1790925501
- Entity type
- Organization (NPI-2)
- Legal business name
- Ouray Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2009
- Last updated
- Dec 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Pavilion Family Medicine (Doing Business As)
Practice location
1804 E Pavilion PlMontrose, CO 81401-5795
Phone 970-249-6670 · Fax 970-252-1372
Mailing address
1804 E Pavilion PlMontrose, CO 81401-5795
Phone 970-249-6670 · Fax 970-252-1372
Authorized official
David P Olson
Owner
9702496670
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