Healthcare Provider Details

I. General information

NPI: 1902225006
Provider Name (Legal Business Name): DAVID CONKLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 GRAND AVE
GLENWOOD SPRINGS CO
81601-4428
US

IV. Provider business mailing address

PO BOX 3807
GRAND JUNCTION CO
81502-3807
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2583
  • Fax:
Mailing address:
  • Phone: 970-683-7131
  • Fax: 970-243-8631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0064379
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: