Individual
DR. GOROH OKAZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 722-2542
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 722-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0067322
CO
207QA0505X
Adult Medicine Physician
39317
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393176
—
SC
Enumeration date
05/26/2011
Last updated
01/19/2022
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