Individual
ALIDA MILLER LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4110 BRIARGATE PKWY STE 300, COLORADO SPRINGS, CO 80920-7837
(719) 632-7669
Mailing address
PO BOX 129, TELLURIDE, CO 81435-0129
(205) 259-9228
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0008607
CO
Other
Enumeration date
12/11/2024
Last updated
12/31/2024
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