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NPI Code Detail

MEDICARE: DR. JOSEPH ADRAGNA IV MD, MHA, MGH

MEDICARE: DR. JOSEPH ADRAGNA IV MD, MHA, MGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician52752CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01499476OTHERRAILROAD WORKERS MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851658876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ADRAGNA IV MD, MHA, MGH
Provider Business Mailing Address
First Line : 1550 E. NIAGARA ROAD
Second Line :
City : MONTROSE
State : CO
Zip : 81401-5027
Country : US
Telephone Number : 970-497-4921
Fax Number : 855-855-4482
Provider Business Practice Location Address
First Line : 1550 E. NIAGARA ROAD
Second Line :
City : MONTROSE
State : CO
Zip : 81401-5027
Country : US
Telephone Number : 970-497-4921
Fax Number : 855-855-4482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2012
Last Update Date : 02/23/2016

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