| Landmark Medical Of Colorado | |
|
102 S Tejon St Ste 1100 Colorado Springs CO 80903-2253 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | Landmark Medical Of Colorado |
|---|---|
| Speciality | General Practice |
| Location | 102 S Tejon St Ste 1100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christopher Dennis (MEDICAL GROUP PRESIDENT) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Colorado 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | Landmark Medical Of Colorado 102 S Tejon St Ste 1100 Colorado Springs CO 80903-2253 Ph: (657) 400-5180 |
| NPI Number | 1487361267 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9830525617 |
|---|---|
| Medicare Enrollment ID | O20230509000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487361267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Christopher Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811068349 PECOS PAC ID: 5092709402 Enrollment ID: I20230509000583 |
| Provider Name | John Eikens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844604 PECOS PAC ID: 6103832944 Enrollment ID: I20230509000633 |
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