Individual
THERESA NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2025
AL
207L00000X
Anesthesiology Physician
Primary
MSDR.0000004
CO
207L00000X
Anesthesiology Physician
OS 14050
FL
Other
Enumeration date
05/28/2008
Last updated
07/26/2022
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