Organization
L.A. GOLD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ALAN GOLD M.D. (PRESIDENT)
(719) 635-5223
Entity
Organization
Contact information
Practice address
3225 INTERNATIONAL CIR STE 210, COLORADO SPRINGS, CO 80910-3161
(719) 635-5223
(719) 635-6035
Mailing address
3225 INTERNATIONAL CIR STE 210, COLORADO SPRINGS, CO 80910-3161
(719) 635-5223
(719) 635-6035
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
22116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22116
COLORADO LICENSE
CO
Enumeration date
10/02/2012
Last updated
10/02/2012
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