Organization
EAR NOSE AND THROAT OF COLORADO SPRINGS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DALSASO SR. (PRESIDENT)
(719) 632-5020
Entity
Organization
Contact information
Practice address
2403 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80909-1185
(712) 963-2502
Mailing address
2403 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80909-1185
(712) 963-2502
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16439
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164391
—
CO
Enumeration date
12/09/2005
Last updated
04/15/2008
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