| NPI | 1427148147 |
|---|---|
| Doing Business As | EAGLERIDGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JERI HAGERMAN Office Manager 719-253-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 35634) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-08-28 |