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E Dawn Martin Caciii Llc
Primary Care Clinic/Center in Colorado Springs, Colorado
NPI 1912341504

E Dawn Martin Caciii Llc is a Primary Care Clinic/Center based in Colorado Springs, CO and is specialized in Primary Care. E Dawn Martin Caciii Llc practices in Colorado Springs, CO. The NPI Number for E Dawn Martin Caciii Llc is 1912341504 and holds a License No. (Colorado).

The current practice location address for E Dawn Martin Caciii Llc is 140 S Parkside Dr, Colorado Springs, CO and can be reached out via phone at 719-358-7338.

Location: 140 S Parkside Dr, Colorado Springs, CO, 80910-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912341504
Provider Name
E Dawn Martin Caciii Llc
Credential
Provider Entity Type
Organization
Address
140 S Parkside Dr, Colorado Springs, CO, 80910-3129
Phone Number
719-358-7338
Fax Number
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033404850 01 CO INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
140 S Parkside Dr
City
Colorado Springs
State
Colorado
Zip
80910-3129
Phone Number
719-358-7338
Fax Number
person
Provider Business Mailing Address Details
Address
140 S Parkside Dr
City
Colorado Springs
State
Colorado
Zip
80910-3129
Phone Number
719-358-7338
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Colorado)
Definition
Definition to come...
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