Salida Family Medicine

NPI #1356374300 in Salida, Colorado

Provider Information

NPI Number: 1356374300
Entity Type: Organization
Organization Name: Salida Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Jul 9, 2006
Last Updated: Jun 14, 2018

Practice Location

Address: 320 E 1ST ST
City: Salida
State: Colorado
ZIP Code: 81201
Phone: (719) 539-3612

Authorized Official

Name: TRUDY L FOGG
Title: PRACTICE ADMINISTATOR
Phone: (719) 539-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X
Family Medicine	207Q00000X	Primary

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