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Individual

WILLIAM TEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
245 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(719) 520-9700
(719) 520-0218
Mailing address
245 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(719) 520-9700
(719) 520-0218

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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