| Abc Family Medical Care | |
|
125 Swope Ave Colorado Springs CO 80909-5832 | |
| (719) 634-4746 | |
| (719) 634-5024 |
| Full Name | Abc Family Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Swope Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Randolph William Waldman (OWNER) |
| Authorized Official Contact | 7196344746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Family Medical Care 125 Swope Ave Colorado Springs CO 80909-5832 Ph: (719) 634-4746 | Abc Family Medical Care 125 Swope Ave Colorado Springs CO 80909-5832 Ph: (719) 634-4746 |
| NPI Number | 1922157874 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922157874 | NPI | - | NPPES |
| 77389573 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40634 (Colorado) | Primary |
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