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NPI Code Detail

MEDICARE: BELLEVIEW SPINE & WELLNESS COS LLC

MEDICARE: BELLEVIEW SPINE & WELLNESS COS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1215584321
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLEVIEW SPINE & WELLNESS COS LLC
Provider Business Mailing Address
First Line : 1712 W UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2958
Country : US
Telephone Number : 719-247-8441
Fax Number : 303-265-9768
Provider Business Practice Location Address
First Line : 1712 W UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-2958
Country : US
Telephone Number : 719-247-8441
Fax Number : 303-265-9768
Authorized Official
Title or Position : MANAGER
Name : KATE MCARTHUR
Credential :
Telephone Number : 719-247-8441
Provider Enumeration Date : 08/22/2019
Last Update Date : 04/02/2021

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Directions to “BELLEVIEW SPINE & WELLNESS COS LLC ” Practice Location

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