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Mmd Services, PC

Clinic/Center, Primary Care in Colorado Springs, CO. Organization (NPI-2).

NPI number1164061099
StatusActive
Last updated in NPPESMar 24, 2021

Details

NPI
1164061099
Entity type
Organization (NPI-2)
Legal business name
Mmd Services, PC
Organization subpart
No
Enumeration date
Dec 23, 2019
Certification date
Mar 24, 2021
Last updated
Mar 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

2020 W Colorado Ave Ste 103
Colorado Springs, CO 80904-3863

Phone 719-249-0217 · Fax 719-982-0035

Mailing address

3107 W. Colorado Ave
#275
Colorado Springs, CO 80904-2040

Phone 719-249-0217

Authorized official

Margaret Ethel Macdonald
President/Owner
7192490217

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