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Individual

DR. ROY SANFORD KISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5265 N ACADEMY BLVD STE 2600, COLORADO SPRINGS, CO 80918-4081
(970) 310-3406
Mailing address
5265 N ACADEMY BLVD STE 2600, COLORADO SPRINGS, CO 80918-4081
(970) 310-3406

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
24467
NE
2084P0800X
Psychiatry Physician
Primary
DR.0051789
CO
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
24467
NE
208VP0000X
Pain Medicine Physician
24467
NE
208VP0000X
Pain Medicine Physician
DR.0051789
CO

Other

Enumeration date
10/18/2006
Last updated
08/01/2024
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