Individual
DR. ERIKA ALYSE OVERBEEK WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
320 E FONTANERO ST STE 100, COLORADO SPRINGS, CO 80907-7535
(719) 365-7420
Mailing address
1650 COCHRANE CIR, IRON HORSE FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-4604
(719) 524-4150
(719) 524-2258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0060136
CO
208D00000X
General Practice Physician
1063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028918
KAISER COMMERCIAL NUMBER
CO
Enumeration date
02/02/2012
Last updated
06/22/2022
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