Organization
INNOVATION PRIMARY CARE AND INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE AYAAD NO (OWNER/NP)
(719) 201-8703
Entity
Organization
Contact information
Practice address
1432 ACACIA DR, COLORADO SPRINGS, CO 80907-4806
(719) 201-8703
Mailing address
1432 ACACIA DR, COLORADO SPRINGS, CO 80907-4806
(719) 201-8703
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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