Dk Speedie MD LLC
Internal Medicine in Eckert, CO. Organization (NPI-2).
NPI number1164022240
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1164022240
- Entity type
- Organization (NPI-2)
- Legal business name
- Dk Speedie MD LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
11485 Highway 65Eckert, CO 81418-5204
Phone 970-250-2459
Mailing address
8568 Coffey RdAustin, CO 81410-8349
Phone 970-250-2459
Authorized official
Douglas Speedie
Physician/Owner
9702502459
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