Colorado Springs Senior Care, Pllc

NPI 1164828281 - Family Medicine - 207QG0300X

NPI Details
NPI 1164828281
Enumeration Date 11/17/2014
Last Updated 11/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GREGORY GREGORY
Position OWNER
Phone (404) 500-6372
Fax
Practice Location
15954 JACKSON CREEK PKWY
SUITE B, #474
MONUMENT CO, 80132-8532, US
Phone (404) 500-6372
Fax
Business Location
15954 JACKSON CREEK PKWY
SUITE B, #474
MONUMENT CO, 80132-8532, US
Phone (404) 500-6372
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State Colorado
License Number 48078
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According to our database, Colorado Springs Senior Care, Pllc NPI is 1164828281, taxonomy code is 207QG0300X and license number is 48078, license state is located at Colorado. Colorado Springs Senior Care, Pllc physically located at 15954 Jackson Creek Pkwy, Monument CO, 80132-8532. NPI Number 1033115704 has the healthcare provider type.

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1164828281 NPI number is provided on an as is basis without warranty of any kind. 1164828281 is maintained by the National Plan & Provider Enumeration System. The contents of Colorado Springs Senior Care, Pllc are for informational purposes only.