| Agape Family Practice, P.c. | |
|
2139 N 12th St Unit 4 Grand Junction CO 81501-2901 | |
| (970) 257-7116 | |
| (970) 257-7119 |
| Full Name | Agape Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2139 N 12th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Craig Allen Severance (OFFICE MANAGER) |
| Authorized Official Contact | 9702577116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Practice, P.c. 2139 N 12th St Unit 4 Grand Junction CO 81501-2901 Ph: (970) 257-7116 | Agape Family Practice, P.c. 2139 N 12th St Unit 4 Grand Junction CO 81501-2901 Ph: (970) 257-7116 |
| NPI Number | 1144405739 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144405739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34092 (Colorado) | Primary |
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