| Donald G Spradlin Do Pllc | |
|
1415 W Cheyenne Mountain Blvd Colorado Springs CO 80906-6211 | |
| (719) 481-2825 | |
| (719) 481-2825 |
| Full Name | Donald G Spradlin Do Pllc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1415 W Cheyenne Mountain Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Mary Spradlin (MANAGER) |
| Authorized Official Contact | 7194812825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald G Spradlin Do Pllc Po Box 60545 Colorado Springs CO 80960-0545 Ph: (719) 481-2825 | Donald G Spradlin Do Pllc 1415 W Cheyenne Mountain Blvd Colorado Springs CO 80906-6211 Ph: (719) 481-2825 |
| NPI Number | 1033134929 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033134929 | NPI | - | NPPES |
| 04020293 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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