| NPI | 1013103373 |
|---|---|
| Doing Business As | GRAND MESA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KIECA CRAIG Owner 970-856-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 40224) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-01-16 |