Optumcare Colorado Springs, LLC

NPI #1316480783 in Fountain, Colorado

Provider Information

NPI Number: 1316480783
Entity Type: Organization
Organization Name: Optumcare Colorado Springs, LLC
Primary Specialty: General Practice
Enumeration Date: Dec 2, 2016
Last Updated: Aug 20, 2019

Practice Location

Address: 5115 FONTAINE BLVD
City: Fountain
State: Colorado
ZIP Code: 80817-1061
Phone: (719) 392-2000

Authorized Official

Name: JOHN G. LIETHEN
Title: SECRETARY
Phone: (952) 205-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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