Northwest Internal Medicine | |
5390 N Academy Blvd #300 Colorado Springs CO 80918-4062 | |
(719) 884-1210 | |
Not Available |
Full Name | Northwest Internal Medicine |
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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 |
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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 |
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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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