| Avalon Physician Group | |
|
458 Mazzini St Erie CO 80516-2491 | |
| (719) 398-1901 | |
| Not Available |
| Full Name | Avalon Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 458 Mazzini St, Erie, Colorado |
| Authorized Official Name and Position | Rachel Marinch Carpenter (FOUNDER, CEO) |
| Authorized Official Contact | 7193981901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Physician Group 458 Mazzini St Erie CO 80516-2491 Ph: (281) 415-8837 | Avalon Physician Group 458 Mazzini St Erie CO 80516-2491 Ph: (719) 398-1901 |
| NPI Number | 1023841244 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023841244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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