Colorado Springs Senior Care, Pllc | |
15954 Jackson Creek Pkwy Suite B, #474 Monument CO 80132-8532 | |
(404) 500-6372 | |
Not Available |
Full Name | Colorado Springs Senior Care, Pllc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 15954 Jackson Creek Pkwy, Monument, Colorado |
Authorized Official Name and Position | Gregory Mesa (OWNER) |
Authorized Official Contact | 4045006372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Colorado Springs Senior Care, Pllc 15954 Jackson Creek Pkwy Suite B, #474 Monument CO 80132-8532 Ph: (404) 500-6372 | Colorado Springs Senior Care, Pllc 15954 Jackson Creek Pkwy Suite B, #474 Monument CO 80132-8532 Ph: (404) 500-6372 |
NPI Number | 1164828281 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 11/17/2014 |
Identifier | Type | State | Issuer |
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1164828281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | 48078 (Colorado) | Primary |
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