ST. MARY'S FAMILY MEDICINE RESIDENCY NPI 1700264595

NPI Information

ST. MARY'S FAMILY MEDICINE RESIDENCY is a primary care clinic center in Grand Junction, CO. ST. MARY'S FAMILY MEDICINE RESIDENCY NPI is 1700264595. The provider is registered as an organization entity type.

The provider's business location address is:

2698 PATTERSON RD
GRAND JUNCTION, CO
ZIP 81506-818
Phone: (970) 298-7408

The provider's authorized official is Kathi Decker .
The authorized official title is Department Secretary and has the following contact phone number (970) 298-7408.

The CLIA number assigned to this NPI record is 06D2074370 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.