Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTH PARK MEDICAL GROUP,PC
Active OrganizationSOUTH PARK MEDICAL GROUP,PC is a Internal Medicine organization located in FAIRPLAY, Colorado. NPI 1245422245 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FAIRPLAY, CO
Registration Details
- NPI Number
- 1245422245
- Provider Type
- Organization
- NPI Issued
- Aug 14, 2007 (18.819877114513 yrs)
- Last Updated
- Feb 20, 2008
- License
-
28085 (CO)
Practice Information
- Address
-
824 CASTELLO STREETFAIRPLAY, CO, 80440Browse CO providers · Browse ZIP 80440
- Phone
- 7198361900
- Primary Specialty
-
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.