NPI | 1528190295 |
---|---|
Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
Entity Type | Organization |
Authorized Contact | DAVID I COHEN Medical Director 702-480-2550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-03-09 |
Last Update Date | 2024-03-07 |