Organization
OPTUMCARE COLORADO MEDICAL GROUP LLC
Active
Other names
Mesa View Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (REGIONAL MEDICAL STAFF MANAGER)
(702) 579-3253
Entity
Organization
Contact information
Practice address
350 INDIANA ST STE 250, GOLDEN, CO 80401-5074
(720) 898-9427
(303) 302-0808
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2900
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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