Individual
MR. TODD ARTHUR COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5015 SADDLEBACK HTS, COLORADO SPRINGS, CO 80923-1118
(719) 310-3726
Mailing address
5015 SADDLEBACK HTS, COLORADO SPRINGS, CO 80923-1118
(719) 310-3726
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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