Internal Medicine Of North Springs, P.c. | |
1910 Vindicator Dr Suite 105 Colorado Springs CO 80919-3623 | |
(719) 260-8630 | |
(719) 260-8635 |
Full Name | Internal Medicine Of North Springs, P.c. |
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Speciality | Internal Medicine |
Location | 1910 Vindicator Dr, Colorado Springs, Colorado |
Authorized Official Name and Position | Wojciech K Kosek (SECRETARY OF THE CORPORATION) |
Authorized Official Contact | 7192608630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Of North Springs, P.c. 1910 Vindicator Dr Suite 105 Colorado Springs CO 80919-3623 Ph: (719) 260-8630 | Internal Medicine Of North Springs, P.c. 1910 Vindicator Dr Suite 105 Colorado Springs CO 80919-3623 Ph: (719) 260-8630 |
NPI Number | 1952341752 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952341752 | NPI | - | NPPES |
99954273 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 41419 (Colorado) | Primary |
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