Individual
JOHN H GENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 473-0707
(719) 473-0710
Mailing address
306 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 473-0707
(719) 473-0710
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
19626
CO
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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