NPI 1316265705

Memorial Health System

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Colorado Springs, CO

Practice location

Address: 175 S Union Blvd #115, Colorado Springs, CO 80910-3113
Phone: (719) 365-9951

Authorised official

Name: Mary Jo Yantis
Title: Vice President
Phone: (719) 365-9951

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1316265705
Entity type: Organization
NPI issued: 10 May 2010
Record last updated: 16 Jun 2010

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.