Internal Medicine And Allergy Pc | |
310 E Del Norte St Colorado Springs CO 80907-7512 | |
(719) 630-0307 | |
(719) 630-1507 |
Full Name | Internal Medicine And Allergy Pc |
---|---|
Speciality | Internal Medicine |
Location | 310 E Del Norte St, Colorado Springs, Colorado |
Authorized Official Name and Position | Richard Jay Ducharme (PRESIDENT) |
Authorized Official Contact | 7196300307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine And Allergy Pc 310 E Del Norte St Colorado Springs CO 80907-7512 Ph: (719) 630-0307 | Internal Medicine And Allergy Pc 310 E Del Norte St Colorado Springs CO 80907-7512 Ph: (719) 630-0307 |
NPI Number | 1548469679 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 07/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548469679 | NPI | - | NPPES |
04011359 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17465 (Colorado) | Primary |
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