Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Parent organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Other names
Mountain View Medical Group, DaVita Medical Group Colorado Springs, LLC, Optum Colorado Springs - MVMG Pediatric Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTUMCARE COLORADO MEDICAL GROUP LLC
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
6071 E WOODMEN RD STE 105, COLORADO SPRINGS, CO 80923-2610
(719) 597-8704
(719) 597-6864
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
08/20/2024
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