Organization
COTTONWOOD SPRINGS PHYSICIAN GROUP LLC
Active
Parent organization
SPRINGSTONE, LLC
Other names
Springstone, llc
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINGSTONE, LLC
Authorized official
REGINA WARREN (DIR. CRED. AND PAYOR ENROLLMENTS)
(502) 400-8480
Entity
Organization
Contact information
Practice address
15040 W 138TH ST, OLATHE, KS 66062-4554
(913) 154-7265
Mailing address
101 S 5TH ST STE 3850, LOUISVILLE, KY 40202-3127
(412) 588-3546
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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