| Northwest Internal Medicine | |
|
5390 N Academy Blvd #300 Colorado Springs CO 80918-4062 | |
| (719) 884-1210 | |
| Not Available |
| Full Name | Northwest Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5390 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Alexander Senkoff (PRESIDENT) |
| Authorized Official Contact | 7198841210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Internal Medicine Po Box 49264 Colorado Springs CO 80949-9264 Ph: (719) 884-1210 | Northwest Internal Medicine 5390 N Academy Blvd #300 Colorado Springs CO 80918-4062 Ph: (719) 884-1210 |
| NPI Number | 1023053873 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023053873 | NPI | - | NPPES |
| 98539230 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36478 (Colorado) | Primary |
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