Healthcare Provider Details

I. General information

NPI: 1467498436
Provider Name (Legal Business Name): ASSOCIATES IN WOMEN'S CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 E. WOODMEN RD., SUITE 320
COLORADO SPRINGS CO
80923
US

IV. Provider business mailing address

6011 E. WOODMEN RD., SUITE 320
COLORADO SPRINGS CO
80923
US

V. Phone/Fax

Practice location:
  • Phone: 719-591-6666
  • Fax: 719-573-0731
Mailing address:
  • Phone: 719-591-6666
  • Fax: 719-573-0731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRENT DELEATH SHELTON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 719-591-6666