Colorado Springs Internal Medicine PC
Internal Medicine in Colorado Springs, CO. Organization (NPI-2).
NPI number1932180304
StatusActive
Last updated in NPPESJul 22, 2013
Details
- NPI
- 1932180304
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorado Springs Internal Medicine PC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2005
- Last updated
- Jul 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
175 S Union BlvdSuite 350
Colorado Springs, CO 80910-3113
Phone 719-633-5515 · Fax 719-471-2258
Mailing address
175 S Union BlvdSuite 350
Colorado Springs, CO 80910-3113
Phone 719-633-5515 · Fax 719-471-2258
Authorized official
Vicky L. Bonato
Practice Manager
7196335515
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