# COLORADO SPRINGS ENDOCRINE CLINIC PC

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

## Provider details

- **NPI number:** 1336101765
- **Authorized official:** SUSAN E HENLEY MD (CORPORATE PRESIDENT)
- **Authorized official phone:** (719) 636-3829

## Contact information

- **Practice address:** 325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC, COLORADO SPRINGS, CO 80907-7533
- **Practice address phone:** (719) 636-3829
- **Practice address fax:** (719) 633-8571
- **Mailing address:** 325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC, COLORADO SPRINGS, CO 80907-7533
- **Mailing address phone:** (719) 636-3829
- **Mailing address fax:** (719) 633-8571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04008066 | — | CO |