Organization
RANDEL B. WING DOM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDEL BRUCE WING LAC, DOM, NMD (PRESIDENT)
(719) 447-0046
Entity
Organization
Contact information
Practice address
2812 W COLORADO AVE, STE 106, COLORADO SPRINGS, CO 80904-2470
(719) 447-0046
(719) 447-4645
Mailing address
2812 W COLORADO AVE, STE 106, COLORADO SPRINGS, CO 80904-2470
(719) 447-0046
(719) 447-4645
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
392
CO
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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