IndividualActive
Clifford Wanebo, M.D.
NPI 1225144173 · Urology Physician · Grand Junction, CO
Provider details
- NPI number
- 1225144173
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14570 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
810 Mazatlan Dr
Grand Junction, CO 81506-1773
Phone: (970) 243-8946
Approximate (ZIP-level) locationGet directions
Mailing address
810 Mazatlan Dr
Grand Junction, CO 81506-1773
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.