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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