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Organization

INFECTIOUS DISEASE SPECIALISTS PC

Active
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Organization

INFECTIOUS DISEASE SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN OGDEN (PRACTICE ADMINISTRATOR)
(719) 578-5176
Entity
Organization

Contact information

Practice address
3230 E WOODMEN RD, SUITE 210, COLORADO SPRINGS, CO 80920
(719) 578-5176
(719) 578-5188
Mailing address
3230 E WOODMEN RD, SUITE 210, COLORADO SPRINGS, CO 80920
(719) 578-5176
(719) 578-5188

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04016804
CO
01
2432037
AETNA
CO
01
607027
BLUE CROSS
CO
01
CG7556
RAIL ROAD MEDICARE
CO
Enumeration date
07/28/2005
Last updated
07/21/2022
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