Family Medicine Clinic

Specialty details in registry · Walsenburg, CO

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At a glance

100 W 4Th St, Walsenburg, CO 81089-1910

NPPES record updated Sep 20, 2016. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

100 W 4Th St
Walsenburg, CO 81089-1910
Professional details: NPI, taxonomy & registry record
NPI1760675698
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208D00000X
Enumeration date
Aug 23, 2007
Record updated
Sep 20, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208D00000X · Primary

License reported: 27053 CO

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

Practice location

100 W 4Th St
Walsenburg, CO 81089-1910
Phone
(719) 738-1164
Fax
(719) 738-3399
Mailing address
100 W 4TH ST

WALSENBURG, CO 810891910
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Information may be outdated or incomplete.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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