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Organization

PRINCIPLED SERVICE INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN LEE II MD (PHYSICIAN / OWNER)
(719) 329-8616
Entity
Organization

Contact information

Practice address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 522-0122
Mailing address
PO BOX 64018, COLORADO SPRINGS, CO 80962-4018
(719) 329-8616

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43946
CO

Other

Enumeration date
08/11/2010
Last updated
04/28/2015
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