South Park Medical Group,pc

NPI #1245422245 in Fairplay, Colorado

Provider Information

NPI Number: 1245422245
Entity Type: Organization
Organization Name: South Park Medical Group,pc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 14, 2007
Last Updated: Feb 20, 2008

Practice Location

Address: 824 CASTELLO STREET
City: Fairplay
State: Colorado
ZIP Code: 80440
Phone: (719) 836-1900

Authorized Official

Name: KATHERINE FITTING, MD
Title: PRESIDENT/OWNER
Phone: (719) 836-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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