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RANDEL B. WING DOM PC NPI 1154603108


NPI Information

NPI: 1154603108
Provider Name: RANDEL B. WING DOM PC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
2812 W COLORADO AVE
STE 106
COLORADO SPRINGS, CO
ZIP 80904
Phone: (719) 447-0046
Get Directions

RANDEL B. WING DOM PC is an acupuncturist in Colorado Springs, CO. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. RANDEL B. WING DOM PC NPI is 1154603108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2812 W COLORADO AVE
STE 106
COLORADO SPRINGS, CO
ZIP 80904-470
Phone: (719) 447-0046
Fax: (719) 447-4645

The provider's authorized official is Randel Bruce Wing .
The authorized official title is President and has the following contact phone number (719) 447-0046.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist392COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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