MEDICARE: ASSOCIATES IN GASTROENTEROLOGY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1205459633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN GASTROENTEROLOGY, P.C.

Provider Business Mailing Address
First Line	:	2940 N CIRCLE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1160
Country	:	US
Telephone Number	:	719-635-7321
Fax Number	:	719-635-2510

Provider Business Practice Location Address
First Line	:	6031 E. WOODMEN RD. SUITE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2624
Country	:	US
Telephone Number	:	719-635-7321
Fax Number	:	719-635-2510

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	JULIE M POPELAR
Credential	:
Telephone Number	:	719-635-7321

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	06/29/2021

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