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Individual

MR. FRED CAMPBELL LEGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
27 E VERMIJO AVE STE 16, COLORADO SPRINGS, CO 80903-2208
(710) 520-7080
Mailing address
27 E VERMIJO AVE STE 16, COLORADO SPRINGS, CO 80903-2208
(710) 520-7080

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 181292/5312
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9637356
WA
Enumeration date
09/16/2005
Last updated
11/13/2007
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