JOHN M. MODELL

FORT CARSON, CO
NPI1750355582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: CA  332458)
Enumeration Date2006-02-16
Last Update Date2007-07-08
Business Address
Mr. JOHN M. MODELL RN
7500 COCHRANE CIRCLE ATTN: COL MODELL USA MEDDAC
FORT CARSON, CO 80913
Phone number: 719-526-7129
Mailing Address
Mr. JOHN M. MODELL RN
1745 GUMTREE CT
COLORADO SPRINGS, CO 80906-7761
Phone number: 719-579-0315