Organization
UNIVERSITY PERINATAL CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHISHOLM (PRACTICE ADMINISTRATOR)
(719) 622-3410
Entity
Organization
Contact information
Practice address
6071 E WOODMEN RD, SUITE 440, COLORADO SPRINGS, CO 80923-2607
(719) 622-6446
(719) 622-3434
Mailing address
6071 E WOODMEN RD, SUITE 440, COLORADO SPRINGS, CO 80923-2607
(719) 622-6446
(719) 622-3434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
37232
CO
207V00000X
Obstetrics & Gynecology Physician
46548
CO
207VM0101X
Maternal & Fetal Medicine Physician
37232
CO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
46548
CO
Other
Enumeration date
11/29/2011
Last updated
06/17/2013
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