Ideal Family Healthcare Pc | |
335 Manitou Ave Manitou Springs CO 80829 | |
(719) 686-8844 | |
(719) 686-7449 |
Full Name | Ideal Family Healthcare Pc |
---|---|
Speciality | Clinic/center |
Location | 335 Manitou Ave, Manitou Springs, Colorado |
Authorized Official Name and Position | Gregory Evan Sharp (PRESIDENT) |
Authorized Official Contact | 7196868844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Family Healthcare Pc 335 Manitou Ave Manitou Springs CO 80829-2537 Ph: (719) 686-8844 | Ideal Family Healthcare Pc 335 Manitou Ave Manitou Springs CO 80829 Ph: (719) 686-8844 |
NPI Number | 1932385549 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 10/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932385549 | NPI | - | NPPES |
DD3684 | Other | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gregory Sharp Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Manitou Ave, Manitou Springs, CO 80829 Phone: 719-686-8844 Fax: 719-686-7449 |