NPI 1063956779
Davita Medical Group Colorado Springs, LLC
Practice location
- Address
- 2020 W Colorado Ave STE 100, Colorado Springs, CO 80904-3882
- Phone
- (719) 473-3606
- Fax
- (719) 473-0132
- Mailing address
- 2 S Cascade Ave STE 140, Colorado Springs, CO 80903-1624
Authorised official
- Name
- Dennis L Schneider
- Title
- Chief Medical Officer
- Phone
- (719) 538-2900
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1063956779
- Entity type
- Organization
- NPI issued
- 14 Dec 2016
- Record last updated
- 22 Sep 2017
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.