Organization
HERITAGE COLORADO PHYSICIAN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT BRICCETTI (SHAREHOLDER)
(951) 314-7304
Entity
Organization
Contact information
Practice address
4170 S CLUB DR, COLORADO SPRINGS, CO 80906-4363
(818) 654-3465
Mailing address
8510 BALBOA BLVD STE 285, NORTHRIDGE, CA 91325-5804
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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