Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desert River Direct, PLLC

Organization Family Medicine Physician · NPI 1356113682

Desert River Direct, PLLC is a Family Medicine Physician in Canon City, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1335 Phay Ave Ste A
Canon City, CO 81212-2349
Phone: (719) 285-8890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356113682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Robicheaux — Business Manager · (719) 285-8890
NPI enumeratedOctober 30, 2023
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address712 Macon Ave, Canon City, CO 81212-3314

Other providers in Canon City