MEDICARE: ALLIANCE FAMILY PRACTICE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	363A00000X	Physician Assistant
4	363LF0000X	Family Nurse Practitioner
5	207RI0011X	Interventional Cardiology Physician
6	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1326253436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE FAMILY PRACTICE

Provider Business Mailing Address
First Line	:	9320 GRAND CORDERA PKWY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-7003
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Provider Business Practice Location Address
First Line	:	9320 GRAND CORDERA PKWY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-7003
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MARK PHILP CARROLL II
Credential	:	M.D.
Telephone Number	:	719-282-6337

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	01/15/2014

Similar Medicare Providers

1063454874 — PROACTIVE PHYSICAL THERAPY LLC
Practice Location Address:

9320 GRAND CORDERA PKWY , SUITE 125
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-535-2757
Practice Fax: 719-535-2767

1407890379 — ALLISON JANE RECTOR PT
Practice Location Address:

9320 GRAND CORDERA PKWY , SUITE 125
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-535-2757
Practice Fax: 719-535-2767

1952495186 — MS. MARGARET PEGGY JOAN COIT PT
Practice Location Address:

9320 GRAND CORDERA PKWY , SUITE 125
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-535-2757
Practice Fax: 719-535-2767

1982819025 — ALLIANCE URGENT CARE
Practice Location Address:

9320 GRAND CORDERA PKWY , SUITE 100
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-282-6337
Practice Fax: 719-282-0532

1073822664 — MR. MARIO ANDRES ARAGON PA-C
Practice Location Address:

9320 GRAND CORDERA PKWY , STE 100
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-282-6337
Practice Fax: 719-282-0532

1376911594 — ETHAN SEDMAN
Practice Location Address:

9320 GRAND CORDERA PKWY , SUITE 125
COLORADO SPRINGS, CO
80924-7003

Practice Phone: 719-535-2757
Practice Fax: 719-535-2767

Directions to “ALLIANCE FAMILY PRACTICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.