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Individual

TEAGUE GEARHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1155 KELLY JOHNSON BLVD, COLORADO SPRINGS, CO 80920-3932
(719) 574-9800
(719) 574-9749
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 801-5656

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6742
CA

Other

Enumeration date
09/03/2015
Last updated
03/18/2020
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