| Quality Medical Clinic | |
|
3604 Galley Rd Ste 201 Colorado Springs CO 80909-4301 | |
| (719) 638-4548 | |
| Not Available |
| Full Name | Quality Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3604 Galley Rd Ste 201, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jason Yisu Park (CEO) |
| Authorized Official Contact | 7195504613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Medical Clinic 3604 Galley Rd Ste 201 Colorado Spgs CO 80909-4301 Ph: (719) 635-4548 | Quality Medical Clinic 3604 Galley Rd Ste 201 Colorado Springs CO 80909-4301 Ph: (719) 638-4548 |
| NPI Number | 1992330500 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992330500 | NPI | - | NPPES |
| 9000177586 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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