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JESUS E CARALE MD

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043236961

Individual Registrant:
 JESUS E CARALE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1112 CARSON AVE  LA JUNTA, CO 81050-2728 US
Tel: 719-383-6480  Fax: 719-383-6412

Contact information for business:
1112 CARSON AVE  LA JUNTA, CO 81050-2728 US
Tel: 719-383-6480  Fax: 719-383-6412

Registration Information:
NPI: 1043236961
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
CO39740

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
07370342CO05
RAILROAD MEDICAREP00175695CO01
BLUE CROSSCAA54671CO01




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