Organization
PREMISE HEALTH OF COLORADO MEDICAL, P.C.
Active
Other names
Phil Long Dealership - Colorado Springs
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
4045 SINTON RD, COLORADO SPRINGS, CO 80907-5040
(719) 444-4561
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
08/23/2022
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