Randel B. Wing Dom Pc

NPI 1154603108 - Acupuncturist - 171100000X

NPI Details
NPI 1154603108
Enumeration Date 09/15/2011
Last Updated 09/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RANDEL BRUCE RANDEL
Position PRESIDENT
Phone (719) 447-0046
Fax (719) 447-4645
Practice Location
2812 W COLORADO AVE
STE 106
COLORADO SPRINGS CO, 80904-2470, US
Phone (719) 447-0046
Fax (719) 447-4645
Business Location
2812 W COLORADO AVE
STE 106
COLORADO SPRINGS CO, 80904-2470, US
Phone (719) 447-0046
Fax (719) 447-4645
Toxanomy
Taxonomy Code 171100000X
License State Colorado
License Number 392
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According to our database, Randel B. Wing Dom Pc NPI is 1154603108, taxonomy code is 171100000X and license number is 392, license state is located at Colorado. Randel B. Wing Dom Pc physically located at 2812 W Colorado Ave, Colorado Springs CO, 80904-2470. NPI Number 1033115704 has the healthcare provider type.

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1154603108 NPI number is provided on an as is basis without warranty of any kind. 1154603108 is maintained by the National Plan & Provider Enumeration System. The contents of Randel B. Wing Dom Pc are for informational purposes only.