Individual
DR. CHRISTOPHER P KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-8731
(719) 960-0363
(719) 413-0363
Mailing address
1625 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907-5748
(719) 960-0363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0072207
CO
207R00000X
Internal Medicine Physician
MD60748520
WA
207RC0000X
Cardiovascular Disease Physician
DR.0072207
CO
207RI0011X
Interventional Cardiology Physician
Primary
DR.0072207
CO
207RI0011X
Interventional Cardiology Physician
MD19100
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396134243
—
CO
05
—
1396134243
—
WA
01
—
DR.0072207
MEDICAL LICENSE
CO
01
—
MD19100
MEDICAL LICENSE
RI
Enumeration date
01/15/2015
Last updated
07/10/2024
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