| NPI | 1568668754 |
|---|---|
| Doing Business As | MEMORIAL HOSPITAL PHYS GROUP |
| Entity Type | Organization |
| Authorized Contact | MIKE SCIALDONE CEO 719-365-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0244) |
| 207R00000X Internal Medicine (Licence: CO 0244) | |
| 207V00000X Obstetrics & Gynecology (Licence: CO 0244) | |
| 208000000X Pediatrics (Licence: CO 0244) | |
| 208600000X Surgery (Licence: CO 0244) | |
| 208M00000X Hospitalist (Licence: CO 0244) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-07-21 |