Healthcare Provider Details

I. General information

NPI: 1760961684
Provider Name (Legal Business Name): MONUMENT MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 08/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 W BAPTIST RD STE 100
COLORADO SPRINGS CO
80921-2480
US

IV. Provider business mailing address

1150 W BAPTIST RD STE 100
COLORADO SPRINGS CO
80921-2480
US

V. Phone/Fax

Practice location:
  • Phone: 719-445-9852
  • Fax: 719-426-9796
Mailing address:
  • Phone: 719-445-9852
  • Fax: 719-426-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANJMUN SHARMA
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 719-313-8401