| Brain Development Centers Of Colorado | |
|
4740 Flintridge Dr Suite 101 Colorado Springs CO 80918-4253 | |
| (719) 375-1788 | |
| (719) 358-7756 |
| Full Name | Brain Development Centers Of Colorado |
|---|---|
| Speciality | Internal Medicine |
| Location | 4740 Flintridge Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Randee Phyllis Van Ness (PRESIDENT) |
| Authorized Official Contact | 7193751788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Development Centers Of Colorado 4740 Flintridge Dr Suite 101 Colorado Springs CO 80918-4253 Ph: (719) 375-1788 | Brain Development Centers Of Colorado 4740 Flintridge Dr Suite 101 Colorado Springs CO 80918-4253 Ph: (719) 375-1788 |
| NPI Number | 1235482415 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235482415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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