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Organization
BUPDOC LLC
Active
Organization
BUPDOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE RENEE NALLEY (OFFICE MANAGER)
(719) 445-0383
Entity
Organization
Contact information
Practice address
3220 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5115
(719) 445-0383
(719) 375-0953
Mailing address
3220 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5115
(719) 445-0383
(719) 375-0953
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
32462
CO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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