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Organization
DIGESTIVE DISEASE ENDOSCOPY CENTER
Active
Organization
DIGESTIVE DISEASE ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBASS SHAFII M.D. (PRESIDENT)
(719) 473-6115
Entity
Organization
Contact information
Practice address
715 N WEBER ST, COLORADO SPRINGS, CO 80903-1091
(719) 473-6115
(719) 473-3688
Mailing address
715 N WEBER ST, COLORADO SPRINGS, CO 80903-1091
(719) 473-6115
(719) 473-3688
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1236
STATE LICENSE
CO
Enumeration date
01/31/2007
Last updated
08/22/2020
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