Summit Integrated Health PLLC
Clinic/Center, Multi-Specialty in Colorado Springs, CO. Organization (NPI-2).
NPI number1962070276
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1962070276
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Integrated Health PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
2997 Broadmoor Valley RdColorado Springs, CO 80906-4405
Phone 719-445-6077
Mailing address
1465 Kelly Johnson Blvd Ste 110Colorado Springs, CO 80920-3945
Authorized official
Shannon Darrow
Owner
4044479945
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