Organization
STILL POINT MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE MARIE KANIA DO (PRESIDENT/OWNER)
(719) 385-0600
Entity
Organization
Contact information
Practice address
1430 S. 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4279
(719) 385-0600
(719) 385-0601
Mailing address
1430 S. 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4279
(719) 385-0600
(719) 385-0601
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
31196
CO
207Q00000X
Family Medicine Physician
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01311968
—
CO
Enumeration date
01/14/2008
Last updated
08/04/2009
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