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Organization

COLORADO SPRINGS ALLERGY & ASTHMA CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA HARRELL (OFFICE MANAGER)
(719) 592-1582
Entity
Organization

Contact information

Practice address
3425 AUSTIN BLUFFS PKWY, SUITE 205, COLORADO SPRINGS, CO 80918-5701
(719) 592-1365
(719) 592-1370
Mailing address
3425 AUSTIN BLUFFS PKWY, SUITE 205, COLORADO SPRINGS, CO 80918-5701
(719) 592-1365
(719) 592-1370

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04010765
CO
Enumeration date
08/23/2006
Last updated
10/05/2007
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