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Search › Colorado › 101YP2500X

Gary Hannemann

NPI 1063443091 · on the registry since 2006 · sole proprietor

Practice

Address
75 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone
(970) 946-2540
Organisation at this address
Pagosa Springs Family Medical Center
Upper San Juan Health Service District
Upper San Juan Health Service District
Pagosa Springs Family Medicine Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
101YP2500X
Licence states on file
CO, WI, NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado