Organization
QUALITY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON YISU PARK DPT (CEO/ PRESIDENT)
(720) 240-1805
Entity
Organization
Contact information
Practice address
3604 GALLEY RD STE 201, COLORADO SPRINGS, CO 80909-4301
(719) 638-4548
Mailing address
3604 GALLEY RD STE 201, COLORADO SPRINGS, CO 80909-4301
(719) 638-4548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/30/2020
Last updated
02/17/2022
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