Organization
COMFORT CARE FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA WIESCAMP (OWNER)
(719) 510-0957
Entity
Organization
Contact information
Practice address
402 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-4218
(719) 471-2273
(719) 325-8971
Mailing address
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38904284
—
CO
Enumeration date
11/04/2019
Last updated
02/15/2024
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