| Ideal Family Healthcare Pc | |
|
335 Manitou Ave Manitou Springs CO 80829 | |
| (719) 686-8844 | |
| (719) 686-7449 |
| Full Name | Ideal Family Healthcare Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 335 Manitou Ave, Manitou Springs, Colorado |
| Authorized Official Name and Position | Gregory Evan Sharp (PRESIDENT) |
| Authorized Official Contact | 7196868844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Family Healthcare Pc 335 Manitou Ave Manitou Springs CO 80829-2537 Ph: (719) 686-8844 | Ideal Family Healthcare Pc 335 Manitou Ave Manitou Springs CO 80829 Ph: (719) 686-8844 |
| NPI Number | 1932385549 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932385549 | NPI | - | NPPES |
| DD3684 | Other | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gregory Sharp Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Manitou Ave, Manitou Springs, CO 80829 Phone: 719-686-8844 Fax: 719-686-7449 |