| Optumcare Colorado Medical Group Llc | |
|
3470 Centennial Blvd Ste 210 Colorado Springs CO 80907-8669 | |
| (719) 463-5600 | |
| (719) 538-2990 |
| Full Name | Optumcare Colorado Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3470 Centennial Blvd Ste 210, Colorado Springs, Colorado |
| Authorized Official Name and Position | Emily Castillo (ASSOCIATE DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 7025793253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Colorado Medical Group Llc Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 579-3203 | Optumcare Colorado Medical Group Llc 3470 Centennial Blvd Ste 210 Colorado Springs CO 80907-8669 Ph: (719) 463-5600 |
| NPI Number | 1902437874 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902437874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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