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Organization

IDEAL FAMILY HEALTHCARE PC

Active
Other names
Cottonwood Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY EVAN SHARP MD (PRESIDENT)
(719) 686-8844
Entity
Organization

Contact information

Practice address
335 MANITOU AVE, MANITOU SPRINGS, CO 80829
(719) 686-8844
(719) 686-7449
Mailing address
335 MANITOU AVE, MANITOU SPRINGS, CO 80829-2537
(719) 686-8844
(719) 686-7449

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD3684
PALMETTO GBA
Enumeration date
01/14/2008
Last updated
10/15/2018
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