# BUPDOC LLC

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

## Provider details

- **NPI number:** 1679059687
- **Authorized official:** CONNIE RENEE NALLEY (OFFICE MANAGER)
- **Authorized official phone:** (719) 445-0383

## Contact information

- **Practice address:** 3220 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5115
- **Practice address phone:** (719) 445-0383
- **Practice address fax:** (719) 375-0953
- **Mailing address:** 3220 N ACADEMY BLVD STE 3, COLORADO SPRINGS, CO 80917-5115
- **Mailing address phone:** (719) 445-0383
- **Mailing address fax:** (719) 375-0953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 32462 | CO | Yes |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018