Individual
BRUCE P MACHAFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3205 N ACADEMY BLVD STE 100, COLORADO SPRINGS, CO 80917
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01331644
—
CO
Enumeration date
06/01/2005
Last updated
06/07/2018
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