Primary Care Partners, Inc.

NPI #1821414335 in Fruita, Colorado

Provider Information

NPI Number: 1821414335
Entity Type: Organization
Organization Name: Primary Care Partners, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMARY CARE PARTNERS, INC.
Primary Specialty: Pediatrics
Enumeration Date: Mar 7, 2014
Last Updated: Jan 4, 2022

Practice Location

Address: 456 KOKOPELLI BLVD UNIT D
City: Fruita
State: Colorado
ZIP Code: 81521-8723
Phone: (970) 243-5437

Authorized Official

Name: BEVERLY J CLARK
Title: CREDENTIALING COORDINATOR
Phone: (970) 254-2642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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