# OPTUMCARE COLORADO MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPTUMCARE COLORADO MEDICAL GROUP, LLC
- **Other names:** MONUMENT FAMILY PRACTICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215568597
- **Legal business name:** OPTUMCARE COLORADO MEDICAL GROUP, LLC
- **Authorized official:** DAVID I COHEN (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 550 W HIGHWAY 105, MONUMENT, CO 80132-9122
- **Practice address phone:** (719) 488-9860
- **Practice address fax:** (719) 488-9868
- **Mailing address:** 2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
- **Mailing address phone:** (719) 538-2900
- **Mailing address fax:** (719) 538-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 03/07/2024