NPI 1225144173

Clifford Kevin Wanebo, MD

Practitioner Urology Physician Grand Junction, CO

Practice location

Address: 810 Mazatlan Dr, Grand Junction, CO 81506-1773
Phone: (970) 243-8946

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 14570 (CO)

Other Urology providers in Colorado →

Registry record

NPI: 1225144173
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2006
Record last updated: 8 Jul 2007

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.