Healthcare Provider Details

I. General information

NPI: 1275595084
Provider Name (Legal Business Name): SUSAN F. TOWNSEND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E BOULDER ST SUITE 3593
COLORADO SPRINGS CO
80909-5533
US

IV. Provider business mailing address

1400 E BOULDER ST SUITE 3593
COLORADO SPRINGS CO
80909-5533
US

V. Phone/Fax

Practice location:
  • Phone: 719-447-8812
  • Fax: 719-447-8987
Mailing address:
  • Phone: 719-447-8812
  • Fax: 719-447-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number30362
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: