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Dr. Mary Susan Zickefoose, MD
Family Medicine Physician in Canon City, Colorado
NPI 1972647147

Mary Susan Zickefoose is a Family Medicine Physician based in Canon City, CO. Mary Susan Zickefoose practices in Canon City, CO and has the professional credentials of MD. The NPI Number for Mary Susan Zickefoose is 1972647147 and holds a License No. 41337 (Colorado).

The current practice location address for Mary Susan Zickefoose is 571 Taylor Trl, Canon City, CO and can be reached out via phone at 719-275-6200. You can also correspond with Mary Susan Zickefoose through the mailing address at 571 TAYLOR TRL, CANON CITY, CO - 81212-3600 (mailing address contact number: 719-275-6200).

Location: 571 Taylor Trl, Canon City, CO, 81212-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972647147
Provider Name
Mary Susan Zickefoose
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
571 Taylor Trl, Canon City, CO, 81212-3600
Phone Number
719-275-6200
Fax Number
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97958557 05 CO
institution
Provider Business Practice Location Address Details
Address
571 Taylor Trl
City
Canon City
State
Colorado
Zip
81212-3600
Phone Number
719-275-6200
Fax Number
person
Provider Business Mailing Address Details
Address
571 Taylor Trl
City
Canon City
State
Colorado
Zip
81212-3600
Phone Number
719-275-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
41337 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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