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Individual

DR. VEASNA THEL SREY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, PODIATRY CLINIC, FORT CARSON, CO 80913-4604
(719) 526-7435
(719) 526-7856
Mailing address
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE, FORT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
652
CO

Other

Enumeration date
01/19/2006
Last updated
07/08/2007
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