| Prpm Pc Penrose Mtn | |
|
41 State Highway 67 Woodland Park CO 80863-5008 | |
| (719) 776-4780 | |
| (719) 686-8863 |
| Full Name | Prpm Pc Penrose Mtn |
|---|---|
| Speciality | Family Medicine |
| Location | 41 State Highway 67, Woodland Park, Colorado |
| Authorized Official Name and Position | Angela Jo Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 7206677283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prpm Pc Penrose Mtn Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Prpm Pc Penrose Mtn 41 State Highway 67 Woodland Park CO 80863-5008 Ph: (719) 776-4780 |
| NPI Number | 1144831074 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144831074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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