NPI | 1194344879 |
---|---|
Other Name | UCHEALTH PRIMARY CARE AND SPORTS MEDICINE CLINIC - LAKE PLAZA |
Doing Business As | UCHEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JANA CONROY Director Of Credentialing 719-365-3600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207RS0010X Internal Medicine, Sports Medicine | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-06-11 |