Organization
COLORADO SPRINGS SENIOR CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MESA M.D. (OWNER)
(404) 500-6372
Entity
Organization
Contact information
Practice address
15954 JACKSON CREEK PKWY, SUITE B, #474, MONUMENT, CO 80132-8532
(404) 500-6372
Mailing address
15954 JACKSON CREEK PKWY, SUITE B, #474, MONUMENT, CO 80132-8532
(404) 500-6372
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
48078
CO
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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