PARKSIDE CT GROUP LLC NPI 1700839248

NPI Information

PARKSIDE CT GROUP LLC is a vascular surgery surgery in Colorado Springs, CO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PARKSIDE CT GROUP LLC NPI is 1700839248. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

215 PARKSIDE DR
COLORADO SPRINGS, CO
ZIP 80910-135
Phone: (719) 477-1033
Fax: (719) 477-1037

The provider's authorized official is J. Thomas Crepps .
The authorized official title is M.d./member and has the following contact phone number (719) 477-1033.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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