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HIGHLANDS MEDICAL GROUP, LLC

Physicians Obstetrics & Gynecology Gynecology

Provider NPI: 1801306477

Organization Information:
Organization Name:  HIGHLANDS MEDICAL GROUP, LLC
Organization is not Subpart
Authorized Official:  DENNIS L. FLINT  COO  719-502-9779

Practice Location:
7680 GODDARD ST STE 100  COLORADO SPRINGS, CO 80920-8233 US
Tel: 719-502-9779  Fax: --

Business Mailing Address:
7680 GODDARD ST STE 100  COLORADO SPRINGS, CO 80920-8233 US
Tel: 719-502-9779  Fax: --

NPI Information:
NPI: 1801306477
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207VG0400XPhysicians
Obstetrics & Gynecology
Gynecology
N2085B0100XPhysicians
Radiology
N2085U0001XPhysicians
Radiology
N261QP2300XAmbulatory Health Care Facilities
Clinic/Center
N261QU0200XAmbulatory Health Care Facilities
Clinic/Center
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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