Organization
COLORADO SPRINGS ENDOCRINE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E HENLEY MD (CORPORATE PRESIDENT)
(719) 636-3829
Entity
Organization
Contact information
Practice address
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC, COLORADO SPRINGS, CO 80907-7533
(719) 636-3829
(719) 633-8571
Mailing address
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC, COLORADO SPRINGS, CO 80907-7533
(719) 636-3829
(719) 633-8571
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008066
—
CO
Enumeration date
04/03/2006
Last updated
08/22/2020
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