Organization
ANNA DICKEY
Active
Organization
ANNA DICKEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DICKEY PA (PA)
(719) 661-4000
Entity
Organization
Contact information
Practice address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 661-4000
Mailing address
19395 CAMPBELL RD, COLORADO SPRINGS, CO 80908-1207
(719) 661-4000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
PA3627
CO
Other
Enumeration date
04/12/2013
Last updated
04/13/2013
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