Healthcare Provider Details

I. General information

NPI: 1033281696
Provider Name (Legal Business Name): JOHN ROBERT BEST DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E 3RD AVE STE 112
DURANGO CO
81301-5046
US

IV. Provider business mailing address

2121 NORTH AVENUE VA MEDICAL CENTER
GRAND JUNCTION CO
81501
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-8382
  • Fax: 970-259-4403
Mailing address:
  • Phone: 970-242-0731
  • Fax: 970-248-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36195
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: