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NPI Code Detail

MEDICARE: CBP CENTERS

MEDICARE: CBP CENTERS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1306244876
Entity Type Code : Organization
Provider Name (Legal Business Name) : CBP CENTERS
Provider Business Mailing Address
First Line : 4617 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2937
Country : US
Telephone Number : 719-266-6431
Fax Number : 719-265-1752
Provider Business Practice Location Address
First Line : 4617 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2937
Country : US
Telephone Number : 719-266-6431
Fax Number : 719-265-1752
Authorized Official
Title or Position : PRESIDENT
Name : ALLAN NEIL GERMAN
Credential : DC
Telephone Number : 719-266-6431
Provider Enumeration Date : 12/15/2014
Last Update Date : 12/15/2014

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Directions to “CBP CENTERS ” Practice Location

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