Organization
TERRY STRUCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA (TERRY) STRUCK MD (OWNER)
(719) 577-9090
Entity
Organization
Contact information
Practice address
1633 MEDICAL CENTER PT, SUITE 123, COLORADO SPRINGS, CO 80907-5700
(719) 577-9090
(719) 577-4549
Mailing address
1633 MEDICAL CENTER PT, SUITE 123, COLORADO SPRINGS, CO 80907-5700
(719) 577-9090
(719) 577-4549
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27509
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38108747
—
CO
Enumeration date
10/19/2007
Last updated
10/24/2007
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