Organization
PREMIER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHLEY WIECHMANN (ADMINISTRATOR)
(719) 650-4347
Entity
Organization
Contact information
Practice address
2960 N CIRCLE DR STE 125, COLORADO SPRINGS, CO 80909-1164
(719) 428-2065
(719) 635-8333
Mailing address
2960 N CIRCLE DR STE 125, COLORADO SPRINGS, CO 80909-1164
(719) 428-2065
(719) 635-8333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2005
Last updated
09/11/2021
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