| Arkansas Valley Family Practice, Llc | |
|
2317 San Juan Ave. Lajunta CO 81050 | |
| (719) 383-2325 | |
| (719) 383-2327 |
| Full Name | Arkansas Valley Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2317 San Juan Ave., Lajunta, Colorado |
| Authorized Official Name and Position | Richard K Book (OWNER/PROVIDER) |
| Authorized Official Contact | 7193832325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Valley Family Practice, Llc 2317 San Juan Ave. Lajunta CO 81050 Ph: (719) 383-2325 | Arkansas Valley Family Practice, Llc 2317 San Juan Ave. Lajunta CO 81050 Ph: (719) 383-2325 |
| NPI Number | 1497938351 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497938351 | NPI | - | NPPES |
| 31830030 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |