NPI | 1396586152 |
---|---|
Doing Business As | OPTUM COLORADO SPRINGS POWERS 6340 |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-08-20 |