Healthcare Provider Details

I. General information

NPI: 1710039912
Provider Name (Legal Business Name): DEBORAH KLAUDT CST-CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 EAGLE ROCK RD
COLORADO SPRINGS CO
80918-3906
US

IV. Provider business mailing address

1130 EAGLE ROCK RD
COLORADO SPRINGS CO
80918-3906
US

V. Phone/Fax

Practice location:
  • Phone: 719-277-0123
  • Fax: 719-268-1711
Mailing address:
  • Phone: 719-277-0123
  • Fax: 719-268-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: