| Medical Clinic | |
|
1411 Yellow Granite Way Monument CO 80132-7452 | |
| (719) 761-2985 | |
| Not Available |
| Full Name | Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1411 Yellow Granite Way, Monument, Colorado |
| Authorized Official Name and Position | Jodi M Killilea (CEO) |
| Authorized Official Contact | 7197612985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic 1411 Yellow Granite Way Monument CO 80132-7452 Ph: (719) 761-2985 | Medical Clinic 1411 Yellow Granite Way Monument CO 80132-7452 Ph: (719) 761-2985 |
| NPI Number | 1174319263 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174319263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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