Organization
BEAR CREEK FAMILY MEDICINE, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA ELIZABETH GRABLIN PA-C (PHYSICIAN ASSISTANT, CO-OWNER)
(719) 632-0324
Entity
Organization
Contact information
Practice address
2620 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-8353
(719) 632-0324
(719) 632-0326
Mailing address
2620 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-8353
(719) 632-0324
(719) 632-0326
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
2402
CO
Other
Enumeration date
10/29/2013
Last updated
10/31/2018
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