Organization
EVANSARMYCOMMUNITYHOSPITAL
Active
Organization
EVANSARMYCOMMUNITYHOSPITAL
Active
Other names
Daraimondo Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JAMES FARRAR LPN (PRACTICAL NURSE)
(719) 524-2087
Entity
Organization
Contact information
Practice address
1041 OCONNELL ST., FT. CARSON, CO 80913
(719) 524-2087
Mailing address
1041 OCONNELL, FT. CARSON, CO 80913
(719) 524-2087
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
23366
CO
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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