Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2005-12-07
- Last updated
- 2023-10-13
Specialties
Licenses
- License CO
- Number not in the file
Location
- Practice location
- 81 W AGATE AVENUE
- City
- GRANBY CO
- Postal code
- 804461457
- Phone
- 970-887-2732
Organization contact
- Name
- EDWARD MOYER
- Title
- COUNTY MANAGER
- Phone
- 9707253101
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.