Organization
GAARD MEDICAL CONSULTANTS LLC
Active
Other names
Southern Colorado Interventional Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRAVGAARD PA-C (OWNER-OPERATOR)
(678) 468-3068
Entity
Organization
Contact information
Practice address
3630 SINTON RD STE 100, COLORADO SPRINGS, CO 80907-5072
(678) 468-3068
(719) 471-8452
Mailing address
3630 SINTON RD STE 100, COLORADO SPRINGS, CO 80907-5072
(678) 468-3068
(719) 471-8452
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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