Individual
MR. MICHAEL JAY GOTTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1035 GARDEN OF THE GODS RD STE 120, COLORADO SPRINGS, CO 80907-3416
(719) 365-3200
(719) 365-7680
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2417
(970) 652-2927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00179400
NJ
Other
Enumeration date
08/31/2006
Last updated
01/13/2023
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