| Pikes Peak Primary Care Llc | |
|
1900 E Pikes Peak Ave Ste 1 Colorado Springs CO 80909-5862 | |
| (719) 632-3757 | |
| (719) 632-2454 |
| Full Name | Pikes Peak Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1900 E Pikes Peak Ave Ste 1, Colorado Springs, Colorado |
| Authorized Official Name and Position | Cynthia R Behrens (ADVANCE PRACTICE NURSE) |
| Authorized Official Contact | 7196323757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikes Peak Primary Care Llc 1900 E Pikes Peak Ave Ste 1 Colorado Springs CO 80909-5862 Ph: (719) 632-3757 | Pikes Peak Primary Care Llc 1900 E Pikes Peak Ave Ste 1 Colorado Springs CO 80909-5862 Ph: (719) 632-3757 |
| NPI Number | 1629550868 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629550868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 103967 (Colorado) | Primary |
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