NPI 1003186230
Western Slope Geriatrics, LLC
Practice location
- Address
- 2754 Compass Dr #170, Grand Junction, CO 81506-8714
- Phone
- (303) 912-7064
Authorised official
- Name
- Mary Johanna Clark
- Title
- Owner
- Phone
- (303) 912-7064
Registered specialties
Geriatric Medicine (Internal Medicine) Physician
Primary
Registry record
- NPI
- 1003186230
- Entity type
- Organization
- NPI issued
- 4 Jan 2012
- Record last updated
- 6 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.