Organization
FRED M FEINSOD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED M FEINSOD MD (OWNER)
(719) 689-2931
Entity
Organization
Contact information
Practice address
9 ALTA VISTA RD, COLORADO SPRINGS, CO 80906-4202
(719) 689-2931
(719) 689-3702
Mailing address
9 ALTA VISTA ROAD, COLORADO SPRINGS, CO 80906-0009
(719) 689-2931
(719) 689-3702
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30929
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01309293
—
CO
Enumeration date
02/19/2009
Last updated
03/30/2009
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