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
6908 MESA RIDGE PKWY, FOUNTAIN, CO 80817-1533
(719) 471-2273
(719) 380-0228
Mailing address
5799 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 380-0228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49109
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46324275
—
CO
Enumeration date
01/29/2014
Last updated
02/15/2024
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