NPI | 1770714339 |
---|---|
Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2009-07-30 |
Last Update Date | 2024-08-20 |