Organization
EVANS ARMY COMMUNITY HOSPITAL PEDIATRIC CLINIC
Active
Parent organization
EVANS ARMY COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS ARMY COMMUNITY HOSPITAL
Authorized official
SEAN THOMAS THOMAS M.D. (CHIEF, PEDIATRIC CLINIC)
(719) 526-7653
Entity
Organization
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7653
(719) 526-7673
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7653
(719) 526-7673
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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