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NPI Code Detail

MEDICARE: COLORADO CARDIAC ALLIANCE, LLC

MEDICARE: COLORADO CARDIAC ALLIANCE, LLC
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
1207RC0001XClinical Cardiac Electrophysiology Physician
2207RC0001XClinical Cardiac Electrophysiology PhysicianCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831188804
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO CARDIAC ALLIANCE, LLC
Provider Business Mailing Address
First Line : 2222 N NEVADA AVE
Second Line : SUITE 4007
City : COLORADO SPRINGS
State : CO
Zip : 80907-6831
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-634-1448
Provider Business Practice Location Address
First Line : 2222 N NEVADA AVE
Second Line : SUITE 4007
City : COLORADO SPRINGS
State : CO
Zip : 80907-6831
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-634-1448
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CHRISTOPHER R COLE
Credential : M.D.
Telephone Number : 719-776-8500
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/18/2013

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1871580910 — DR. MICHAEL J. BARBER M.D.
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2222 N NEVADA AVE , SUITE 4007
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1508853664 — DR. DAVID WALTER ALBRECHT M.D.
Practice Location Address:
2222 N NEVADA AVE , SUITE 4007
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1457348468 — DR. CHRISTOPHER R. COLE M.D.
Practice Location Address:
2222 N NEVADA AVE , SUITE 4007
COLORADO SPRINGS, CO
80907-6831
Practice Phone: 719-776-8500
Practice Fax: 719-634-1448

Directions to “COLORADO CARDIAC ALLIANCE, LLC ” Practice Location

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