Trinidad Medical Associates , LLC

NPI #1144273830 in Trinidad, Colorado

Provider Information

NPI Number: 1144273830
Entity Type: Organization
Organization Name: Trinidad Medical Associates , LLC
Primary Specialty: Family Medicine
Enumeration Date: May 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 400 BENEDICTA AVE
Address 2: SUITE E
City: Trinidad
State: Colorado
ZIP Code: 81082-2089
Phone: (719) 845-0627

Authorized Official

Name: DR. ROBERT CARLISLE, M.D.
Title: OWNER
Phone: (719) 845-0627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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