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Individual

CHAMISA MACINDOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1725 E BOULDER ST STE 101, COLORADO SPRINGS, CO 80909
(719) 365-6300
(719) 365-6094
Mailing address
1725 E BOULDER ST STE 101, COLORADO SPRINGS, CO 80909-5740

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A-1568-10
NM
207P00000X
Emergency Medicine Physician
DR.0051667
CO
207P00000X
Emergency Medicine Physician
OS014360
PA
2084A2900X
Neurocritical Care Physician
Primary
DR.0051667
CO

Other

Enumeration date
07/24/2008
Last updated
08/28/2018
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