Healthcare Provider Details

I. General information

NPI: 1194956292
Provider Name (Legal Business Name): MARGOT A. WILLIAMS, D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6965 TUTT BLVD STE 100
COLORADO SPRINGS CO
80923
US

IV. Provider business mailing address

6965 TUTT BLVD STE 100
COLORADO SPRINGS CO
80923-3597
US

V. Phone/Fax

Practice location:
  • Phone: 719-266-5944
  • Fax:
Mailing address:
  • Phone: 719-266-5944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34758
License Number StateCO

VIII. Authorized Official

Name: DR. MARGOT A. CROSSLEY
Title or Position: OWNER
Credential: D.O.
Phone: 719-266-5944