NPI 1063955425

Optumcare Colorado Medical Group LLC

Organisation General Practice Physician Colorado Springs, CO

Practice location

Address: 2405 Research Pkwy, Colorado Springs, CO 80920-1044
Phone: (719) 268-2800
Fax: (719) 268-2824
Mailing address: PO Box 35380, Las Vegas, NV 89133-5380

Authorised official

Name: Emily Castillo
Title: Assoc Director Credentialing
Phone: (702) 579-3253

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Colorado →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Colorado →

Registry record

NPI: 1063955425
Entity type: Organization
NPI issued: 2 Dec 2016
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.