DAVITA MEDICAL GROUP COLORADO SPRINGS LLC NPI 1063956779

NPI Information

DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC is a general practice in Colorado Springs, CO. DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC NPI is 1063956779. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Davita Medical Group.

The provider's business location address is:

2020 W COLORADO AVE
STE 100
COLORADO SPRINGS, CO
ZIP 80904-882
Phone: (719) 473-3606
Fax: (719) 473-0132

The provider's authorized official is Dennis L Schneider .
The authorized official title is Chief Medical Officer and has the following contact phone number (719) 538-2900.

The CLIA number assigned to this NPI record is 06D0923415 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2016 and was last updated on 9/22/2017.

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:

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