| Dr Douglas Brent Rock, MD | |
|
750 Wellington Ave, St. Mary's Medical Pavilion, Radiation Oncology, Grand Junction, CO 81501-6132 | |
| (970) 244-2442 | |
| (970) 244-7008 |
| Full Name | Dr Douglas Brent Rock |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 750 Wellington Ave, Grand Junction, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275531725 | NPI | - | NPPES |
| 1365477 | Medicaid | CO | |
| 841340905003 | Other | CO | ROCKY MOUNTAIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 36547 (Colorado) | Primary |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Brent Rock, MD 751 Horizon Ct, Suite 259, Grand Junction, CO 81506-8733 Ph: (970) 257-1786 | Dr Douglas Brent Rock, MD 750 Wellington Ave, St. Mary's Medical Pavilion, Radiation Oncology, Grand Junction, CO 81501-6132 Ph: (970) 244-2442 |
Gayle Patrice Miller, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2596 F Rd, Grand Junction, CO 81505 Phone: 970-254-3180 | |
Christopher O'hara Hampson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 877-406-2916 Fax: 334-671-1696 | |
Corey Tait Eastham Sours, R.T. (R)(CT)(ARRT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 2121 North Ave, Grand Junction, CO 81501 Phone: 970-242-0731 | |
John Terry Leever, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2021 N 12th St, Grand Junction, CO 81501 Phone: 970-256-6440 | |
Dr. Richard Eustis Fulton Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1556 Wellington Ave, Grand Junction, CO 81501 Phone: 970-241-4406 | |
Dr. Justin M. Kaptuch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2351 G Rd, Grand Junction, CO 81505 Phone: 970-644-3237 Fax: 970-644-3259 | |
John R Bumgarner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-241-9729 |