Research Parkway Pdc Pllc | |
2465 Research Pkwy Ste 100 Colorado Springs CO 80920-1089 | |
(719) 528-6100 | |
Not Available |
Full Name | Research Parkway Pdc Pllc |
---|---|
Speciality | Dentist |
Location | 2465 Research Pkwy Ste 100, Colorado Springs, Colorado |
Authorized Official Name and Position | Mark Christensen (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8016911701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Research Parkway Pdc Pllc 355 S 520 W Ste 250 Lindon UT 84042-1976 Ph: (801) 305-3460 | Research Parkway Pdc Pllc 2465 Research Pkwy Ste 100 Colorado Springs CO 80920-1089 Ph: (719) 528-6100 |
NPI Number | 1508611971 |
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Provider Enumeration Date | 04/19/2024 |
Last Update Date | 04/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508611971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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