Healthcare Provider Details

I. General information

NPI: 1740467315
Provider Name (Legal Business Name): WORKPARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2008
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 ORCHARD AVE UNIT O
GRAND JUNCTION CO
81501-2997
US

IV. Provider business mailing address

1060 ORCHARD AVE UNIT O
GRAND JUNCTION CO
81501-2997
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-5585
  • Fax: 970-241-5582
Mailing address:
  • Phone: 970-241-5585
  • Fax: 970-241-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number39442
License Number StateCO

VIII. Authorized Official

Name: DR. FREDERICK J MOSLEY
Title or Position: OWNER
Credential: M.D.
Phone: 970-241-5585