Unknown Individual – Sports Medicine (Family Medicine) Physician, NPI 1962472779
Sports Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
625, Maroonglen Court, Colorado Springs, El Paso County, Colorado, 80906, United States
COLORADO SPRINGS, CO 809066806
Phone: (719) 527-1299
Type: Mailing
402, West Bijou Street, Colorado Springs, El Paso County, Colorado, 80905, United States
EMERGICARE MEDICAL CLINICS
COLORADO SPRINGS, CO 809051309
Phone: (719) 302-6942
Fax: (719) 302-6686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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