Community Medical Group, LLC

NPI #1134766421 in Grand Jct, Colorado

Provider Information

NPI Number: 1134766421
Entity Type: Organization
Organization Name: Community Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 5, 2019
Last Updated: Apr 24, 2020

Practice Location

Address: 2020 N 12TH ST
City: Grand Jct
State: Colorado
ZIP Code: 81501-2914
Phone: (970) 644-4220

Authorized Official

Name: CHRISTIAN THOMAS
Title: PRESIDENT/CEO
Phone: (970) 644-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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