MEDICARE: GJD PLLC

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1972447795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GJD PLLC

Provider Business Mailing Address
First Line	:	1190 BOOKCLIFF AVE UNIT 202
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-8159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 BOOKCLIFF AVE UNIT 202
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-8159
Country	:	US
Telephone Number	:	772-979-2643
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	RACHAEL KAPPIUS
Credential	:	MD
Telephone Number	:	772-979-2643

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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