Provider First Line Business Practice Location Address:
745 RUSSEL ST
Provider Second Line Business Practice Location Address:
NWCOVNA PUBLIC HEALTH OFFICE
Provider Business Practice Location Address City Name:
CRAIG
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-824-8233
Provider Business Practice Location Address Fax Number:
970-824-2548
Provider Enumeration Date:
02/12/2007