Organization Name: | ASSOCIATES OF GENERAL FAMILY MEDICINE, P. C. |
NPI Number: | 1518158369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRISTEEN VAN T. JONES (VICE PRESIDENT) |
Mailing Address: | 3100 N Academy Blvd Ste 205 Colorado Springs |
State: | CO US |
Postal Code: | 809175332 |
Phone Number: | 7195735800 |
Fax Number: | 7195735801 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 36646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |