| 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 |