Organization
AVISTA WOMENS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA HANCOCK (BUSINESS MANAGER)
(303) 439-8910
Entity
Organization
Contact information
Practice address
611 MITCHELL WAY, SUITE 103, ERIE, CO 80516-5436
(303) 439-8910
(303) 439-9134
Mailing address
90 HEALTH PARK DR, SUITE 290, LOUISVILLE, CO 80027-9757
(303) 439-8910
(303) 439-9134
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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