| Surface Creek Family Practice PC | |
|
255 Sw 8th Ave Cedaredge CO 81413 | |
| (970) 856-3146 | |
| (970) 806-4385 |
| Full Name | Surface Creek Family Practice PC |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 255 Sw 8th Ave, Cedaredge, Colorado |
| Authorized Official Name and Position | Kevin L Pulsipher (PRESIDENT) |
| Authorized Official Contact | 9708563146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surface Creek Family Practice PC 255 Sw 8th Ave Cedaredge CO 81413 Ph: (970) 856-3146 | Surface Creek Family Practice PC 255 Sw 8th Ave Cedaredge CO 81413 Ph: (970) 856-3146 |
| NPI Number | 1326648254 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326648254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
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