Organization
SPRINGS GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HOR (CHIEF OPERATING OFFICER)
(719) 761-8005
Entity
Organization
Contact information
Practice address
160 W FILLMORE ST, COLORADO SPRINGS, CO 80907-6155
(719) 636-1299
(719) 636-9166
Mailing address
PO BOX 15497, COLORADO SPRINGS, CO 80935-5497
(719) 473-4030
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68682794
—
CO
01
—
SPB65018
BLUE SHIELD
CO
Enumeration date
01/10/2007
Last updated
04/29/2020
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