Individual
DR. GARY BLANE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4711 OPUS DR, SUITE 201, COLORADO SPRINGS, CO 80906-8694
(719) 579-0900
(719) 579-0911
Mailing address
4711 OPUS DR, SUITE 201, COLORADO SPRINGS, CO 80906-8694
(719) 579-0900
(719) 579-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30910
CO
Other
Enumeration date
03/29/2006
Last updated
05/13/2013
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