Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
Optum ABC Pediatrics, Optum Colordo Springs
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
(702) 579-3253
Entity
Organization
Contact information
Practice address
2405 RESEARCH PKWY, COLORADO SPRINGS, CO 80920-1044
(719) 574-9191
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 400-7470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
08/22/2024
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