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Individual

DR. MICHELLE ANN EADS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1040 S 8TH ST, SUITE 102, COLORADO SPRINGS, CO 80905-7364
(719) 687-8752
(719) 687-8753
Mailing address
1040 S 8TH ST, SUITE 102, COLORADO SPRINGS, CO 80905-7364
(719) 687-8752
(719) 687-8753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36828
CO
207Q00000X
Family Medicine Physician
K0458
TX

Other

Enumeration date
09/12/2005
Last updated
02/05/2015
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