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2020 W Colorado Ave Ste 100 Colorado Springs CO 80904-3882 | |
| (719) 473-3606 | |
| (719) 473-0132 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2020 W Colorado Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Dennis L Schneider (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7195382900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1624 Ph: (719) 538-2900 | 2020 W Colorado Ave Ste 100 Colorado Springs CO 80904-3882 Ph: (719) 473-3606 |
| NPI Number | 1063956779 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 09/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063956779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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