Organization
FOUR POINTS FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGINAH DEBERRY (PRESIDENT)
(719) 577-9977
Entity
Organization
Contact information
Practice address
4020 PALMER PARK BLVD STE 101B, COLORADO SPRINGS, CO 80909-3433
(719) 577-9977
(719) 577-9977
Mailing address
4020 PALMER PARK BLVD STE 101B, COLORADO SPRINGS, CO 80909-3433
(719) 577-9977
(719) 577-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29321786
—
CO
Enumeration date
01/17/2007
Last updated
11/14/2008
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