Individual
DR. PAMELA WALLACE CASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1465 KELLY JOHNSON BLVD, SUITE 220, COLORADO SPRINGS, CO 80920-3955
(719) 265-1050
(719) 265-2503
Mailing address
1465 KELLY JOHNSON BLVD, SUITE 220, COLORADO SPRINGS, CO 80920-3955
(719) 265-1050
(719) 265-2503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41888
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85487210
—
CO
Enumeration date
09/29/2005
Last updated
02/11/2010
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