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Organization
OMS ASSOCIATES COLORADO PC
Active
Organization
OMS ASSOCIATES COLORADO PC
Active
Parent organization
OMS ASSOCIATES COLORADO PC
Other names
Associates in Maxillofacial and Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMS ASSOCIATES COLORADO PC
Authorized official
SUSAN STEGMAN (CREDENTIALING CO-ORDINATOR)
(719) 599-0500
Entity
Organization
Contact information
Practice address
1755 TELSTAR DR STE 210, COLORADO SPRINGS, CO 80920-1018
(719) 599-0500
(719) 599-0575
Mailing address
6160 TUTT BLVD STE 250, COLORADO SPRINGS, CO 80923-1500
(719) 599-0500
(719) 599-0575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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