Provider First Line Business Practice Location Address:
1100 NORTH AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF KINESIOLOGY, PHYSICIAN ASSISTANT PROGRAM
Provider Business Practice Location Address City Name:
GRAND JUNCTION
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-248-1804
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2022