NPI 1508364845

Tracey L Fogle

Practitioner Mastectomy Fitter Colorado Springs, CO

Practice location

Address: 1710 Briargate Blvd STE 840, Colorado Springs, CO 80920-3456
Phone: (719) 649-6362

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1508364845
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2018
Record last updated: 20 Feb 2020

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.