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G Alan Corp PC

Internal Medicine in Brush, CO. Organization (NPI-2).

NPI number1699166249
StatusActive
Last updated in NPPESFeb 17, 2015

Details

NPI
1699166249
Entity type
Organization (NPI-2)
Legal business name
G Alan Corp PC
Organization subpart
No
Enumeration date
Feb 17, 2015
Last updated
Feb 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineDR.0052325COYes

Practice location

2400 Edison St
Brush, CO 80723-1640

Phone 702-453-3799 · Fax 702-453-5741

Mailing address

Po Box 51342
Colorado Springs, CO 80949-1342

Phone 702-453-3799 · Fax 702-453-5741

Authorized official

Gregory Alan Feucht
Owner
6157137085

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