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Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
DaVita Medical Group Colorado Springs LLC, OptumCare Colorado Springs LLC, Optum Colorado Springs 1625 Medical Center Point, Colorado Springs Health Partners LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
1625 MEDICAL CENTER PT STE 210, COLORADO SPRINGS, CO 80907-5798
(719) 635-5803
(719) 448-0164
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
08/20/2024
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