Provider First Line Business Practice Location Address:
MEMORIAL HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
1400 EAST BOULDER ST
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-365-1832
Provider Business Practice Location Address Fax Number:
719-365-6727
Provider Enumeration Date:
03/20/2007