Organization
COLORADO PERMANENTE MEDICAL GROUP, P.C.
Active
Other names
Kaiser Permanente Premier Medical Offices
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J SPLINTER (CHIEF FINANCIAL OFFICER)
(303) 344-7345
Entity
Organization
Contact information
Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020087
—
CO
05
—
04710083
—
CO
05
—
30478251
—
CO
Enumeration date
03/20/2020
Last updated
05/25/2021
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