Organization
PAMELA W. CASSON, MD, PC
Active
Other names
Sunrise Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA WALLACE CASSON M.D. (PEDIATRICIAN)
(719) 598-0631
Entity
Organization
Contact information
Practice address
1465 KELLY JOHNSON BLVD, SUITE 220, COLORADO SPRINGS, CO 80920-3955
(719) 265-1050
(719) 265-2503
Mailing address
5605 COACHWOOD TRL, COLORADO SPRINGS, CO 80919-4454
(719) 598-0631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85487210
—
CO
Enumeration date
03/19/2009
Last updated
03/19/2009
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