| Katy Rieves, Inc. | |
|
2139 N 12th St Suite 2 Grand Junction CO 81501-2901 | |
| (970) 256-1664 | |
| Not Available |
| Full Name | Katy Rieves, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2139 N 12th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Clark Rieves (VICE PRESIDENT) |
| Authorized Official Contact | 9702561664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Rieves, Inc. 2139 N 12th St Suite 2 Grand Junction CO 81501-2901 Ph: () - | Katy Rieves, Inc. 2139 N 12th St Suite 2 Grand Junction CO 81501-2901 Ph: (970) 256-1664 |
| NPI Number | 1417139098 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417139098 | NPI | - | NPPES |
| 462278 | Other | CO | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37919 (Colorado) | Primary |
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