Organization
GERALD A. HAMSTRA, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD A HAMSTRA D.O. (PRESIDENT)
(719) 574-7849
Entity
Organization
Contact information
Practice address
4775 JAMESTOWN DR, COLORADO SPRINGS, CO 80918-2725
(719) 574-7849
(719) 574-3776
Mailing address
PO BOX 25819, COLORADO SPRINGS, CO 80936-5819
(719) 574-7849
(719) 574-3776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17495
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01174952
—
CO
01
—
014042929
RAILROAD MEDICARE
—
Enumeration date
04/22/2008
Last updated
09/19/2011
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