Organization · Type 2 NPI

Optumcare Colorado Medical Group LLC

Family Medicine Physician · Colorado Springs, CO

NPI number 1902437874 Active

Practice location

3470 Centennial Blvd Ste 210
Colorado Springs, CO 80907-8669

Call (719) 463-5600 Map

Fax (719) 538-2990

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1902437874
Entity type: Organization (Type 2)
Issued: Jan 30, 2020
Last updated: Aug 20, 2024
Status: Active
Subpart: Yes of Optumcare Colorado Medical Group LLC

Other names

<unavail>
Mdvip DR Theodore Lawson · doing business as
Optumcare Colorado Springs LLC · former legal business name

Authorized official

Emily Castillo
Associate Director Credentialing
(702) 579-3253

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About NPI 1902437874

Optumcare Colorado Medical Group LLC's National Provider Identifier is 1902437874, issued on Jan 30, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 20, 2024.