Organization
USACS OF COLORADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC BAGNOLI (CHAIR)
(330) 493-4443
Entity
Organization
Contact information
Practice address
1685 S 21ST ST, COLORADO SPRINGS, CO 80904-5123
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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