MEDICARE: APPLETON FAMILY MEDICINE, PC

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
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DA4632	OTHER	CO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AP6655375	OTHER	CO	BLUE SHIELD

General Provider Information

NPI Number	:	1407874118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLETON FAMILY MEDICINE, PC

Provider Business Mailing Address
First Line	:	2478 PATTERSON RD
Second Line	:	SUITE 27
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1266
Country	:	US
Telephone Number	:	970-257-1862
Fax Number	:	970-263-0134

Provider Business Practice Location Address
First Line	:	2478 PATTERSON RD
Second Line	:	SUITE 27
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1266
Country	:	US
Telephone Number	:	970-257-1862
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD GREGORY DOYLE
Credential	:	MD
Telephone Number	:	970-257-1862

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/09/2012

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Directions to “APPLETON FAMILY MEDICINE, PC ” Practice Location

Language	Start Address	Practice Location

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