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Organization

RETINA CONSULTANTS OF SOUTHERN COLORADO P C

Active
Other names
Retina Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISSY BEAL (FRONT OFFICE MANAGER)
(719) 473-9595
Entity
Organization

Contact information

Practice address
10035 PEARL PASS VIEW, SUITE 110, COLORADO SPRINGS, CO 80924
(719) 473-9595
(719) 227-0669
Mailing address
10035 PEARL PASS VIEW, SUITE 110, COLORADO SPRINGS, CO 80924
(719) 473-9595
(719) 227-0669

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013250240
CO
05
67174787
CO
05
9000173749
CO
05
9000181814
CO
05
93008716
CO
05
97656372
CO
Enumeration date
06/11/2020
Last updated
06/11/2020
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