# AMY S. MAROLDO, M.D., LLC

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

## Provider details

- **NPI number:** 1861532111
- **Authorized official:** DR. AMY SUSAN MAROLDO M.D. (MANAGING MEMBER)
- **Authorized official phone:** (719) 963-4170

## Contact information

- **Practice address:** 175 S UNION BLVD, SUITE 305, COLORADO SPRINGS, CO 80910-3126
- **Practice address phone:** (719) 365-6881
- **Practice address fax:** (719) 365-6877
- **Mailing address:** 4419 CENTENNIAL BLVD, \#244, COLORADO SPRINGS, CO 80907-3771
- **Mailing address phone:** (719) 963-4170
- **Mailing address fax:** (719) 548-0338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28328 | CO | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 03/26/2014