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Individual

GARY MARKHAM ENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Mailing address
1400 E BOULDER ST, SUITE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003772
VA
363A00000X
Physician Assistant
Primary
PA.0003692
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82300046
CO
Enumeration date
10/16/2006
Last updated
05/26/2020
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