Rosa Louise Brey Gardner
MARILLAC CLINIC, INC.


Address: 2333 N 6th St, Grand Junction, CO 81501-2001
Phone: 9702981782

Rosa Louise Brey Gardner (NPI# 1417468547, PAC ID# 5799044798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1417468547
PAC ID by PECOS 5799044798
Professional Enrollment ID I20190712001530
Full Name Rosa Louise Brey Gardner
Organization Legal Name MARILLAC CLINIC, INC.
Address 2333 N 6th St
Grand Junction
CO 81501-2001
Phone Number 9702981782
Gender F
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1052634748
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060023 ST MARYS MEDICAL CENTER

Other Locations

Address Phone Organization
2333 N 6th St, Grand Junction, CO 81501-2001 9702981782 MARILLAC CLINIC, INC.

Organization Information

Organization Legal Name MARILLAC CLINIC, INC.
Physicians 15

Physicians with the same organization

Name Specialty Organization Address
Nikos P Hollis Nurse Practitioner Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Leah N Barjenbruch Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Erica D Lovett Fournier Family Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Jared Barjenbruch Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Jeanne M Haberer Family Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Crystal Dawn Owens Hospice/palliative Care Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Stephanie Sayers Osteopathic Manipulative Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Stephen R Pyland Clinical Social Worker Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Andrea L Nederveld Pediatric Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Derek D Diaz Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001

Office Location

Street Address 2333 N 6TH ST
City GRAND JUNCTION
State CO
Zip 81501-2001

Physicians in the same location

Name Specialty Organization Address
Nikos P Hollis Nurse Practitioner Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Leah N Barjenbruch Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Erica D Lovett Fournier Family Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Jared Barjenbruch Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Jeanne M Haberer Family Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Crystal Dawn Owens Hospice/palliative Care Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Stephanie Sayers Osteopathic Manipulative Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Stephen R Pyland Clinical Social Worker Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Andrea L Nederveld Pediatric Medicine Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Derek D Diaz Physician Assistant Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Roseanna M Jennings Nurse Practitioner Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
James R Pasterz Family Practice Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Colleen Wright Nurse Practitioner Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Rhonda L Rhudy Clinical Social Worker Marillac Clinic, Inc. 2333 N 6th St, Grand Junction, CO 81501-2001
Scott E Vincent Family Medicine 601 Ctr Ave, Grand Junction, CO 81501-2041
Gregory D Urban Plastic and Reconstructive Surgery 1215 N 1st St, Grand Junction, CO 81501-2102
Roberta L Prins Physical Therapy Stacey Wood 321 Rood Ave, Grand Junction, CO 81501-2451
Stacey A Wood Physical Therapy Stacey Wood 321 Rood Ave, Grand Junction, CO 81501-2451
Joshua M Hardy Physical Therapy 321 Rood Ave, Grand Junction, CO 81501-2451
Leta A Hughes Clinical Social Worker Colorado West Regional Mental Health Inc 450 Ouray Ave, Grand Junction, CO 81501-2536
Find all physicians in zip 81501

Competitor

Search similar physicians

City GRAND JUNCTION
Zip Code 81501
Specialty PHYSICIAN ASSISTANT
City + Specialty GRAND JUNCTION + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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