Organization
FRONT RANGE OBSTETRICS & GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. SCOTT RUSSELL MD (PRESIDENT)
(719) 433-0342
Entity
Organization
Contact information
Practice address
6160 TUTT BLVD, SUITE 270, COLORADO SPRINGS, CO 80923-3500
(719) 599-4692
Mailing address
6160 TUTT BLVD, SUITE 270, COLORADO SPRINGS, CO 80923-3500
(719) 599-4692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40143
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105748
—
CO
Enumeration date
06/06/2008
Last updated
02/17/2009
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