# PLANET T HORMONE REPLACEMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134513351
- **Authorized official:** CHAD BRADBURRY (OWNER)
- **Authorized official phone:** (719) 237-8609

## Contact information

- **Practice address:** 2631 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3024
- **Practice address phone:** (719) 237-8609
- **Mailing address:** 2631 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3024
- **Mailing address phone:** (719) 237-8609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | DR.0045073 | CO | Yes |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 04/02/2015