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Organization
FOUR POINTS FAMILY MEDICAL CENTER INC
Active
Organization
FOUR POINTS FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGINAH DEBERRY (PRESIDENT)
(719) 577-9977
Entity
Organization
Contact information
Practice address
4020 PALMER PARK BLVD STE 101B, COLORADO SPRINGS, CO 80909-3433
(719) 577-9977
(719) 577-9977
Mailing address
4020 PALMER PARK BLVD STE 101B, COLORADO SPRINGS, CO 80909-3433
(719) 577-9977
(719) 577-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
11/14/2008
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