Amazing Medicine Llc | |
5777 N Academy Blvd Colorado Springs CO 80918-3684 | |
(719) 266-5800 | |
(719) 960-2039 |
Full Name | Amazing Medicine Llc |
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Speciality | Family Medicine |
Location | 5777 N Academy Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | John Yi (CEO) |
Authorized Official Contact | 7192665800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amazing Medicine Llc 5777 N Academy Blvd Colorado Springs CO 80918-3684 Ph: (719) 266-5800 | Amazing Medicine Llc 5777 N Academy Blvd Colorado Springs CO 80918-3684 Ph: (719) 266-5800 |
NPI Number | 1003527185 |
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Provider Enumeration Date | 12/08/2022 |
Last Update Date | 12/28/2022 |
Medicare PECOS PAC ID | 9032554738 |
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Medicare Enrollment ID | O20240305000251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003527185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jane E Switzer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154643989 PECOS PAC ID: 3779735246 Enrollment ID: I20121207000167 |
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