| Pinnacle Family Medicine, Pllc | |
|
1040 S 8th Street Suite 102 Colorado Springs CO 80905 | |
| (719) 687-8752 | |
| (719) 687-8753 |
| Full Name | Pinnacle Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1040 S 8th Street, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michelle Ann Eads (PRESIDENT/OWNER) |
| Authorized Official Contact | 7196878752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Family Medicine, Pllc Po Box 7275 Woodland Park CO 80863 Ph: (719) 687-8752 | Pinnacle Family Medicine, Pllc 1040 S 8th Street Suite 102 Colorado Springs CO 80905 Ph: (719) 687-8752 |
| NPI Number | 1396067310 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396067310 | NPI | - | NPPES |
| 01362821 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36828 (Colorado) | Primary |
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