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CTMD LLC DBA PARKSIDE HEART CARE NPI 1902172786


NPI Information

NPI: 1902172786
Provider Name: CTMD LLC DBA PARKSIDE HEART CARE

Doing Business As: PARKSIDE HEART CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
455 E PIKES PEAK AVE
SUITE 100
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 338-1324
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CTMD LLC DBA PARKSIDE HEART CARE is a specialist in Colorado Springs, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CTMD LLC DBA PARKSIDE HEART CARE NPI is 1902172786. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkside Heart Care.

The provider's business location address is:

455 E PIKES PEAK AVE
SUITE 100
COLORADO SPRINGS, CO
ZIP 80903-672
Phone: (719) 338-1324

The provider's authorized official is Christopher Norman Tulin .
The authorized official title is Owner and has the following contact phone number (719) 338-1324.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 7/17/2013.


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
1174400000XSpecialist28056COLORADOYes

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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