Urban, Gregory Daryl

Urban, Gregory Daryl is an sole proprietor health care provider with primary practice located at 1215 N 1St St , Grand Junction CO 81501-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Urban, Gregory Daryl can be contacted via phone (970) 255-1720.

Contact Information

Primary practice address
1215 N 1St St Grand Junction CO 81501-2102
Fax: (970) 255-1745
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 29673 Colorado

Profile Details

NPI number 1578644670
LBN Legal business name Urban, Gregory Daryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jan 13th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578644670 NPPES
Colorado Other 240006078 RAILROAD MEDICARE
Colorado MEDICAID 01296730 RAILROAD MEDICARE
Colorado MEDICAID 04021788 RAILROAD MEDICARE

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