Individual
DR. TED E EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3771
Mailing address
PO BOX 9809, COLORADO SPRINGS, CO 80932-0809
(719) 635-7172
(719) 444-3771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25772
CO
Other
Enumeration date
06/08/2006
Last updated
05/28/2009
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