| NPI | 1114564952 |
|---|---|
| Doing Business As | GRAND VALLEY PRIMARY CARE III |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN THOMAS President/CEO 970-644-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2021-04-12 |