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NPI Verification

National Provider Identifier: 1659744910

Advantage Internal Medicine

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

1338 PHAY AVE

CANON CITY, CO 812122302

Phone: 702-453-3799

NPI Enumeration Date

November 9, 2015

NPI Number

1659744910

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Advantage Internal Medicine - NPI 1659744910 | Provider Verification | HormoneMap