Provider First Line Business Practice Location Address:
1633 MEDICAL CENTER POINT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80907-1604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-447-1000
Provider Business Practice Location Address Fax Number:
719-447-8841
Provider Enumeration Date:
10/19/2005