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Organization

PINNACLE FAMILY MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE ANN EADS MD (PRESIDENT/OWNER)
(719) 687-8752
Entity
Organization

Contact information

Practice address
1040 S 8TH STREET, SUITE 102, COLORADO SPRINGS, CO 80905
(719) 687-8752
(719) 687-8753
Mailing address
PO BOX 7275, WOODLAND PARK, CO 80863
(719) 687-8752
(719) 687-8753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36828
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01362821
CO
Enumeration date
02/17/2010
Last updated
02/22/2010
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