Optumcare Colorado Medical Group LLC

NPI #1346632684 in Monument, Colorado

Provider Information

NPI Number: 1346632684
Entity Type: Organization
Organization Name: Optumcare Colorado Medical Group LLC
Primary Specialty: General Practice
Enumeration Date: Feb 24, 2015
Last Updated: Aug 20, 2024

Practice Location

Address: 15909 JACKSON CREEK PKWY
City: Monument
State: Colorado
ZIP Code: 80132-8693
Phone: (719) 488-9933

Authorized Official

Name: EMILY CASTILLO
Title: ASSOCIATE DIRECTOR CREDENTIALING
Phone: (702) 579-3253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Pediatrics	208000000X
Non-Pharmacy Dispensing Site	332900000X
General Practice	208D00000X	Primary

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