NPI 1659641900
Optumcare Colorado Medical Group LLC
Practice location
- Address
- 1633 Medical Center PT, Colorado Springs, CO 80907-5700
- Phone
- (719) 636-2999
- Fax
- (719) 475-2042
- Mailing address
- PO Box 35380, Las Vegas, NV 89133-5380
Authorised official
- Name
- Emily Castillo
- Title
- Associate Director Credentialing
- Phone
- (702) 579-3253
Registered specialties (8)
Non-Pharmacy Dispensing Site
Primary
Dermatology Physician
Dermatopathology Physician
Family Medicine Physician
Gastroenterology Physician
Pulmonary Disease Physician
Neurology Physician
General Practice Physician
Registry record
- NPI
- 1659641900
- Entity type
- Organization
- NPI issued
- 4 Jan 2012
- 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.