Organization
INTERNAL MEDICINE AND ALLERGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY DUCHARME M.D. (PRESIDENT)
(719) 630-0307
Entity
Organization
Contact information
Practice address
310 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 630-0307
(719) 630-1507
Mailing address
310 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 630-0307
(719) 630-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011359
—
CO
Enumeration date
07/18/2007
Last updated
07/18/2007
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