Organization
PINE RIDGE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOHN VECCHIARELLI MD (OWNER)
(719) 550-5180
Entity
Organization
Contact information
Practice address
7610 N UNION BLVD, COLORADO SPRINGS, CO 80920-3861
(719) 550-5180
Mailing address
7610 N UNION BLVD, COLORADO SPRINGS, CO 80920-3861
(719) 550-5180
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31061
CO
Other
Enumeration date
02/27/2009
Last updated
07/22/2009
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