Grand Mesa Spine and Sport, LLC
NPI #1316333115 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1316333115
- Entity Type
- Organization
- Organization Name
- Grand Mesa Spine and Sport, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Apr 9, 2015
- Last Updated
- Apr 28, 2015
Practice Location
- Address
- 201 W PARK DR
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81505-1469
- Phone
- (970) 242-0162
Authorized Official
- Name
- LEILANI HARMON
- Title
- BILLING DIRECTOR
- Phone
- (419) 843-1370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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