OPTUMCARE COLORADO MEDICAL GROUP LLC

COLORADO SPRINGS, CO
NPI1225669518
Former Legal Business NameMOUNTAIN VIEW MEDICAL GROUP
Former Legal Business NameDAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
Doing Business AsOPTUM COLORADO SPRINGS - MVMG PEDIATRIC SPECIALIST
Entity TypeOrganization
Authorized ContactEMILY CASTILLO
Associate Director Credentialing
702-579-3253
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-01-27
Last Update Date2024-08-20
Business Address
OPTUMCARE COLORADO MEDICAL GROUP LLC
6071 E WOODMEN RD STE 105
COLORADO SPRINGS, CO 80923-2610
Phone number: 719-597-8704
Mailing Address
OPTUMCARE COLORADO MEDICAL GROUP LLC
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-579-3203