Organization
COREVISION NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL HARDAGE JR. (OWNER)
(404) 809-7764
Entity
Organization
Contact information
Practice address
411 S CASCADE AVE, SUITE 100, COLORADO SPRINGS, CO 80903-3809
(404) 809-7764
Mailing address
411 S CASCADE AVE, SUITE 100, COLORADO SPRINGS, CO 80903-3809
(404) 809-7764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1778-00
CO
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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