Desert River Direct, Pllc
NPI #1356113682 in Canon City, Colorado
Provider Information
- NPI Number
- 1356113682
- Entity Type
- Organization
- Organization Name
- Desert River Direct, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 30, 2023
- Last Updated
- May 5, 2025
Practice Location
- Address
- 1335 PHAY AVE STE A
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2349
- Phone
- (719) 285-8890
Authorized Official
- Name
- TARA L ROBICHEAUX
- Title
- BUSINESS MANAGER
- Phone
- (719) 285-8890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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