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ALLIANCE URGENT CARE

Physicians Pediatrics

Provider NPI: 1982819025

Organization Information:
Organization Name:  ALLIANCE URGENT CARE
Organization is not Subpart
Authorized Official:  MARK PHILP CARROLL  MEDICAL DIRECTOR  719-282-6337

Practice Location:
9320 GRAND CORDERA PKWY SUITE 100 COLORADO SPRINGS, CO 80924-7003 US
Tel: 719-282-6337  Fax: 719-282-0532

Business Mailing Address:
9320 GRAND CORDERA PKWY SUITE 100 COLORADO SPRINGS, CO 80924-7003 US
Tel: 719-282-6337  Fax: 719-282-0532

NPI Information:
NPI: 1982819025
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
N207R00000XPhysicians
Internal Medicine
N207RI0011XPhysicians
Internal Medicine
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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