Western Slope Geriatrics, LLC

NPI #1003186230 in Grand Junction, Colorado

Provider Information

NPI Number
1003186230
Entity Type
Organization
Organization Name
Western Slope Geriatrics, LLC
Primary Specialty
Internal Medicine - Geriatric Medicine
Enumeration Date
Jan 4, 2012
Last Updated
Feb 6, 2012

Practice Location

Address
2754 COMPASS DR
Address 2
#170
ZIP Code
81506-8714
Phone
(303) 912-7064

Authorized Official

Name
MARY JOHANNA CLARK, MD
Title
OWNER
Phone
(303) 912-7064

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine

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