Organization
THE COLORADO COLLEGE BOETTCHER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH U. REYNOLDS M.D. (MEDICAL DIRECTOR)
(719) 389-6384
Entity
Organization
Contact information
Practice address
1106 N CASCADE AVE, COLORADO SPRINGS, CO 80903-2367
(719) 389-6384
(719) 389-6928
Mailing address
1106 N CASCADE AVE, COLORADO SPRINGS, CO 80903-2367
(719) 389-6384
(719) 389-6928
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
BB5482637
CO
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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