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Organization
MEMORIAL HEALTH SYSTEM
Active
Organization
MEMORIAL HEALTH SYSTEM
Active
Parent organization
MEMORIAL HEALTH SYSTEM
Other names
Memorial Physician Network - Maternal Fetal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SYSTEM
Authorized official
MARY JO YANTIS (VICE PRESIDENT)
(719) 365-9951
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-9951
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-9951
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
06/18/2010
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