Doc
NPI #1972049245 in Canon City, Colorado
Provider Information
- NPI Number
- 1972049245
- Entity Type
- Organization
- Organization Name
- Doc
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Jan 11, 2017
- Last Updated
- Jan 11, 2017
Practice Location
- Address
- 57500 E HWY 50
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-9363
- Phone
- (719) 269-5081
Authorized Official
- Name
- MRS. TRUDY ANN SICOTTE, ACNP
- Title
- NURSE PRACTITIONER
- Phone
- (719) 269-5081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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