Healthcare Provider Details

I. General information

NPI: 1306094503
Provider Name (Legal Business Name): TECHNICAL CONCEPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 PARKSIDE DR SUITE 200
COLORADO SPRINGS CO
80910-3141
US

IV. Provider business mailing address

265 PARKSIDE DR SUITE 200
COLORADO SPRINGS CO
80910-3141
US

V. Phone/Fax

Practice location:
  • Phone: 719-475-2229
  • Fax: 719-475-2227
Mailing address:
  • Phone: 719-475-2229
  • Fax: 719-475-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. PAUL C MAGARELLI
Title or Position: PAUL C MAGARELLI, M.D., PH.D.
Credential: M.D., PH.D.
Phone: 719-475-2229