Provider First Line Business Practice Location Address:
ST MARY'S REGIONAL MEDICAL CENTER 2635 N 7TH ST
Provider Second Line Business Practice Location Address:
4TH FLOOR
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:
970-298-5910
Provider Business Practice Location Address Fax Number:
970-298-7761
Provider Enumeration Date:
12/27/2007