Summit Primary Care | |
75 Printers Pkwy Ste 200 Colorado Springs CO 80910-3142 | |
(719) 300-8433 | |
Not Available |
Full Name | Summit Primary Care |
---|---|
Speciality | Family Medicine |
Location | 75 Printers Pkwy Ste 200, Colorado Springs, Colorado |
Authorized Official Name and Position | Lawrence Scott Wilner (CEO) |
Authorized Official Contact | 7193008433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Primary Care Po Box 5300 Colorado Springs CO 80931-5300 Ph: () - | Summit Primary Care 75 Printers Pkwy Ste 200 Colorado Springs CO 80910-3142 Ph: (719) 300-8433 |
NPI Number | 1285256818 |
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Provider Enumeration Date | 05/18/2020 |
Last Update Date | 10/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285256818 | NPI | - | NPPES |
DR.0032016 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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