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NPI Code Detail

MEDICARE: FOUR CORNERS GASTROENTEROLOGY CONSULTANTS PC

MEDICARE: FOUR CORNERS GASTROENTEROLOGY CONSULTANTS 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
1207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1710099726
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR CORNERS GASTROENTEROLOGY CONSULTANTS PC
Provider Business Mailing Address
First Line : 940 W PINON ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5905
Country : US
Telephone Number : 505-326-5552
Fax Number : 505-326-6727
Provider Business Practice Location Address
First Line : 940 W PINON ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5905
Country : US
Telephone Number : 505-326-5552
Fax Number : 505-326-6727
Authorized Official
Title or Position : PRES MD
Name : FRANCISCO COLON
Credential : MD
Telephone Number : 505-326-5552
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/26/2013

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Directions to “FOUR CORNERS GASTROENTEROLOGY CONSULTANTS PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.