| Bear Creek Family Medicine, Prof. Llc | |
|
2620 Tenderfoot Hill St Colorado Springs CO 80906-8353 | |
| (719) 632-0324 | |
| (719) 632-0326 |
| Full Name | Bear Creek Family Medicine, Prof. Llc |
|---|---|
| Speciality | Physician Assistant - Medical |
| Location | 2620 Tenderfoot Hill St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Katrina Elizabeth Grablin (PHYSICIAN ASSISTANT, CO-OWNER) |
| Authorized Official Contact | 7196320324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Family Medicine, Prof. Llc 2620 Tenderfoot Hill St Colorado Springs CO 80906-8353 Ph: (719) 632-0324 | Bear Creek Family Medicine, Prof. Llc 2620 Tenderfoot Hill St Colorado Springs CO 80906-8353 Ph: (719) 632-0324 |
| NPI Number | 1326476466 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326476466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2402 (Colorado) | Primary |
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