Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
Optum Colorado Springs - Woodland Park, DaVita Medical Group Colorado springs LLC, Colorado Springs Health Partners LLC, OptumCare Colorado Springs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
700 W US HIGHWAY 24, WOODLAND PARK, CO 80863-8975
(719) 687-8550
(719) 687-8919
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
08/20/2024
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