Individual
DR. HEATHER M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 525-7000
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0057007
CO
207R00000X
Internal Medicine Physician
MD13927
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65375033
—
CO
Enumeration date
06/26/2009
Last updated
02/04/2025
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