JAY M. WOLKOV DO PC; NPI #1649368663

Contact Information

JAY M. WOLKOV DO PC

707 N IOWA ST
GUNNISON, CO 81230-2229

Phone: 970-641-1771
Fax: 970-641-9017
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for JAY M. WOLKOV DO PC

NPI # 1649368663

LBN Legal business name JAY M. WOLKOV DO PC

Authorized official LOUISE ANDERS - (BILLING COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2006

Last updated 04/29/2011 - About 15 years ago

Identifiers

Medicaid

04808093

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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