| Evans Army Community Hospital Pediatric Clinic | |
|
1650 Cochrane Cir Fort Carson CO 80913-4613 | |
| (719) 526-7653 | |
| (719) 526-7673 |
| Full Name | Evans Army Community Hospital Pediatric Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
| Authorized Official Name and Position | Sean Thomas Thomas (CHIEF, PEDIATRIC CLINIC) |
| Authorized Official Contact | 7195267653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Army Community Hospital Pediatric Clinic 1650 Cochrane Cir Fort Carson CO 80913-4613 Ph: (719) 526-7653 | Evans Army Community Hospital Pediatric Clinic 1650 Cochrane Cir Fort Carson CO 80913-4613 Ph: (719) 526-7653 |
| NPI Number | 1902259948 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902259948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |