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Doctors / CO
FAMILY PRACTICE
Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2020
NPI: 1205456324
556 BEECH AVE
FRUITA, CO 815216705
PO BOX, SUITE 130
FRUITA, CO 81521
Source: CMS National Downloadable File, September 2026.