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Specialty details in registry · Grand Junction, CO

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At a glance

2546 Rimrock Ave Ste 100-B, Grand Junction, CO 81505-8671

NPPES record updated Jun 20, 2025. Public records can lag behind changes at a practice.

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Practice location

2546 Rimrock Ave Ste 100-B
Grand Junction, CO 81505-8671

Professional details: NPI, taxonomy & registry record

NPI1154652980

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 156FX1800X
Enumeration date: Jan 19, 2010
Record updated: Jun 20, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

156FX1800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2546 Rimrock Ave Ste 100-B
Grand Junction, CO 81505-8671

Phone: (970) 208-1032
Fax: (970) 208-1033

Mailing address

296 GRAYSON HWY

LAWRENCEVILLE, GA 300465737

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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