| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164828281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 48078 (Colorado) | Primary |
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