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

Desert River Family Medicine, LLC

Organization Family Medicine Physician · NPI 1023773611

Desert River Family Medicine, LLC is a Family Medicine Physician in Canon City, Colorado. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — 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
Non-Surgical Family Planning Clinic/Center Taxonomy 261QF0050X

Record details

NPI number1023773611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Robicheaux — Business Manager · (719) 285-8890
NPI enumeratedNovember 8, 2021
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address1335 Phay Ave Ste A, Canon City, CO 81212-2349

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