Organization · Type 2 NPI

Dod

Clinic/Center · Colorado Springs, CO

NPI number 1336119403 Active

Practice location

7500 Cochrane Cir, Ft.carson
Colorado Springs, CO 80913-7692

Call (710) 524-4289 Map

Mailing address

710 Herbglen Ct
Colorado Springs, CO 80906-7692

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X78-82 (NM)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1336119403

Dod's National Provider Identifier is 1336119403, issued on Jan 23, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 22, 2020.