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Organization

WZUPDOC, INC.

Active
Other names
WzUpDoc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY BLANE CHILDERS M.D. (OWNER)
(719) 579-0900
Entity
Organization

Contact information

Practice address
4711 OPUS RD, SUITE 201, COLORADO SPRINGS, CO 80906-8694
(719) 579-0900
(719) 579-0911
Mailing address
PO BOX 3104, MONUMENT, CO 80132-3104
(719) 579-0900
(719) 579-0911

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CO30910
CO

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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