Family Medicine Clinic

NPI #1760675698 in Walsenburg, Colorado

Provider Information

NPI Number: 1760675698
Entity Type: Organization
Organization Name: Family Medicine Clinic
Primary Specialty: General Practice
Enumeration Date: Aug 23, 2007
Last Updated: Sep 20, 2016

Practice Location

Address: 100 W 4TH ST
City: Walsenburg
State: Colorado
ZIP Code: 81089-1910
Phone: (719) 738-1164

Authorized Official

Name: C DAVID NEECE, D.O.
Title: OWNER/PROVIDER
Phone: (719) 738-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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