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NPI Code Detail

MEDICARE: ENDOSCOPY CENTER OF COLORADO SPRINGS, LLC

MEDICARE: ENDOSCOPY CENTER OF COLORADO SPRINGS, 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
1261QA1903XAmbulatory Surgical Clinic/Center0881CO

General Provider Information

NPI Number : 1417060898
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDOSCOPY CENTER OF COLORADO SPRINGS, LLC
Provider Business Mailing Address
First Line : 2940 N CIRCLE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1160
Country : US
Telephone Number : 719-635-7321
Fax Number : 719-635-2510
Provider Business Practice Location Address
First Line : 2940 N CIRCLE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1160
Country : US
Telephone Number : 719-635-7321
Fax Number : 719-635-2510
Authorized Official
Title or Position : BILLING MANAGER
Name : CINDY R WILLIAMS
Credential :
Telephone Number : 719-635-7321
Provider Enumeration Date : 08/17/2006
Last Update Date : 11/22/2016

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Directions to “ENDOSCOPY CENTER OF COLORADO SPRINGS, LLC ” Practice Location

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