| Outlaw Medical Arts Llc | |
|
220 East Ave Rifle CO 81650-2332 | |
| (970) 625-5521 | |
| Not Available |
| Full Name | Outlaw Medical Arts Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 220 East Ave, Rifle, Colorado |
| Authorized Official Name and Position | George Thomas Morton (OWNER) |
| Authorized Official Contact | 9706255521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outlaw Medical Arts Llc 220 East Ave Rifle CO 81650-2332 Ph: (970) 625-5521 | Outlaw Medical Arts Llc 220 East Ave Rifle CO 81650-2332 Ph: (970) 625-5521 |
| NPI Number | 1134667934 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 9436432515 |
|---|---|
| Medicare Enrollment ID | O20170215002694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134667934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16787 (Colorado) | Primary |
| Provider Name | George Thomas Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285672899 PECOS PAC ID: 4880777143 Enrollment ID: I20080208000389 |
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Roland Kato Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 702-453-3799 Fax: 702-453-5741 | |
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