| Pine Ridge Family Medicine Inc | |
|
7610 N Union Blvd Colorado Springs CO 80920-3861 | |
| (719) 550-5180 | |
| Not Available |
| Full Name | Pine Ridge Family Medicine Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7610 N Union Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anthony John Vecchiarelli (OWNER) |
| Authorized Official Contact | 7195505180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Ridge Family Medicine Inc 7610 N Union Blvd Colorado Springs CO 80920-3861 Ph: (719) 550-5180 | Pine Ridge Family Medicine Inc 7610 N Union Blvd Colorado Springs CO 80920-3861 Ph: (719) 550-5180 |
| NPI Number | 1487894762 |
|---|---|
| Provider Enumeration Date | 02/27/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487894762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 31061 (Colorado) | Primary |
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