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Individual

DANN CONRAD BYCK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4105 BRIARGATE PKWY STE 300, COLORADO SPRINGS, CO 80920-3487
(719) 420-0200
(719) 352-0121
Mailing address
4105 BRIARGATE PKWY STE 300, COLORADO SPRINGS, CO 80920-3487
(719) 402-0200
(719) 352-0121

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
51866291205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
CDR.0002201
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4360680001
CIGNA DMERC
01
51866291200001
BCBS
01
659750
DESERT MUTUAL
01
870580455
AETNA
01
870680455
AM POSTAL WORKERS UNION
01
870680455BYC
ED IHC CARE PLUS
05
D4621
UT
01
OM0000058953
ALTUS
Enumeration date
08/16/2005
Last updated
12/18/2024
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