| Potomac Square Family Medicine, Llc | |
|
3100 N Academy Blvd Ste 211 Colorado Springs CO 80917-5332 | |
| (719) 301-7162 | |
| Not Available |
| Full Name | Potomac Square Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3100 N Academy Blvd Ste 211, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tresa Switzer (CONTROLLER) |
| Authorized Official Contact | 3033414730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Square Family Medicine, Llc 750 W Hampden Ave Ste 105 Englewood CO 80110-2167 Ph: (508) 213-1947 | Potomac Square Family Medicine, Llc 3100 N Academy Blvd Ste 211 Colorado Springs CO 80917-5332 Ph: (719) 301-7162 |
| NPI Number | 1992446405 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992446405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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