Organization
FORE SEASONS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M MCMASTER DO (OWNER)
(719) 572-1797
Entity
Organization
Contact information
Practice address
325 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 572-1797
(719) 572-9033
Mailing address
325 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 572-1797
(719) 572-9033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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