LARRY D. TICE MD PC

GRAND JUNCTION, CO
NPI1558663286
Entity TypeOrganization
Authorized ContactLARRY D TICE
President
970-858-2603
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
LARRY D. TICE MD PC
1120 WELLINGTON AVE SUITE 206
GRAND JUNCTION, CO 81501-6129
Phone number: 970-241-8013
Mailing Address
LARRY D. TICE MD PC
551 KOKOPELLI BLVD
FRUITA, CO 81521-6305
Phone number: 970-858-2603
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