| Grand Junction Family Medicine Pc | |
|
525 North Ave Suite 104 Grand Junction CO 81501-7512 | |
| (970) 424-5030 | |
| Not Available |
| Full Name | Grand Junction Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 525 North Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Tarek T Arja (OWNER) |
| Authorized Official Contact | 9702541686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Junction Family Medicine Pc 525 North Ave Grand Junction CO 81501-7512 Ph: (970) 424-5030 | Grand Junction Family Medicine Pc 525 North Ave Suite 104 Grand Junction CO 81501-7512 Ph: (970) 424-5030 |
| NPI Number | 1013102912 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 08/04/2021 |
| Medicare PECOS PAC ID | 7012002389 |
|---|---|
| Medicare Enrollment ID | O20071002000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013102912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
| Provider Name | Tarek T Arja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982745212 PECOS PAC ID: 9032161088 Enrollment ID: I20050217000615 |
| Provider Name | Jeffery W Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013950435 PECOS PAC ID: 8325179716 Enrollment ID: I20100629000483 |
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