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Contact Information

ARKANSAS VALLEY FAMILY PRACTICE, LLC
2317 SAN JUAN AVE.
LA JUNTA, CO81050
 Phone: 719-383-2325
 Fax: 719-383-2327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ARKANSAS VALLEY FAMILY PRACTICE LLC · (Female)

NPI Number 1497938351
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2007
Last updated 11/10/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 31830030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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