| Sanctuary Pediatrics Pllc | |
|
16357 Mountain Glory Dr Monument CO 80132-6168 | |
| (206) 941-4058 | |
| Not Available |
| Full Name | Sanctuary Pediatrics Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16357 Mountain Glory Dr, Monument, Colorado |
| Authorized Official Name and Position | Jessica Donaldson (OWNER PROVIDER) |
| Authorized Official Contact | 2069414058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Pediatrics Pllc Po Box 25 Monument CO 80132-0025 Ph: (206) 941-4058 | Sanctuary Pediatrics Pllc 16357 Mountain Glory Dr Monument CO 80132-6168 Ph: (206) 941-4058 |
| NPI Number | 1255158804 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255158804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Colorado Springs Senior Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15954 Jackson Creek Pkwy, Suite B, #474, Monument, CO 80132 Phone: 404-500-6372 | |
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Monument Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 W Highway 105, Monument, CO 80132 Phone: 719-488-9860 Fax: 719-488-9868 | |
Glover Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Deer Creek Rd, Suite 101, Monument, CO 80132 Phone: 719-344-2789 Fax: 719-362-1102 | |
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