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JAY M. WOLKOV DO PC NPI 1952481970


NPI Information

NPI: 1952481970
Provider Name: JAY M. WOLKOV DO PC

Doing Business As: GUNNISON FAMILY MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
707 N IOWA ST
GUNNISON, CO
ZIP 81230
Phone: (970) 641-1399
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JAY M. WOLKOV DO PC is a medical physician assistant in Gunnison, CO. JAY M. WOLKOV DO PC NPI is 1952481970. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Gunnison Family Medical Center.

The provider's business location address is:

707 N IOWA ST
GUNNISON, CO
ZIP 81230-229
Phone: (970) 641-1399

The provider's authorized official is Cyndie Gelroth .
The authorized official title is Specialist and has the following contact phone number (970) 641-1399.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA1940COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q51976MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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