Individual
MR. JOHN CAGNOLA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 N SPRUCE ST, 11C-C, COLORADO SPRINGS, CO 80905-1436
(719) 327-5697
(719) 633-8741
Mailing address
25 N SPRUCE ST, 11C-C, COLORADO SPRINGS, CO 80905-1436
(719) 327-5697
(719) 633-8741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3214
CO
Other
Enumeration date
07/03/2006
Last updated
08/19/2011
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