| Wzupdoc | |
|
4711 Opus Rd Suite 201 Colorado Springs CO 80906-8694 | |
| (719) 579-0900 | |
| (719) 579-0911 |
| Full Name | Wzupdoc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4711 Opus Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Gary Blane Childers (OWNER) |
| Authorized Official Contact | 7195790900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wzupdoc Po Box 3104 Monument CO 80132-3104 Ph: (719) 579-0900 | Wzupdoc 4711 Opus Rd Suite 201 Colorado Springs CO 80906-8694 Ph: (719) 579-0900 |
| NPI Number | 1659504454 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659504454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CO30910 (Colorado) | Primary |
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