NPI | 1891326161 |
---|---|
Doing Business As | ADVANTAGE FAMILY MEDICINE |
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 | 2020-01-27 |
Last Update Date | 2024-03-07 |