| Dynamic Healthcare Team | |
|
2855 Dublin Blvd Colorado Springs CO 80918-1662 | |
| (719) 265-6464 | |
| (719) 265-6750 |
| Full Name | Dynamic Healthcare Team |
|---|---|
| Speciality | General Practice |
| Location | 2855 Dublin Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Alana Sherman (OFFICE MANAGER) |
| Authorized Official Contact | 7192656464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Healthcare Team 2855 Dublin Blvd Colorado Springs CO 80918-1662 Ph: (719) 265-6464 | Dynamic Healthcare Team 2855 Dublin Blvd Colorado Springs CO 80918-1662 Ph: (719) 265-6464 |
| NPI Number | 1467865741 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 7810113750 |
|---|---|
| Medicare Enrollment ID | O20140729001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467865741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeremy R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912212093 PECOS PAC ID: 5496989410 Enrollment ID: I20131007000868 |
| Provider Name | Ripley R Hollister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790899185 PECOS PAC ID: 0446476386 Enrollment ID: I20140729002007 |
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