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DANIEL FLETCHER SOTERES MD

Allergy

Colorado Springs, Colorado

Provider NPI: 1679573588

Provider Information:
 DANIEL FLETCHER SOTERES MD


Practice Location:
2709 N TEJON STREET  COLORADO SPRINGS, CO 80907 US
Tel: 719-473-0872  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
LA024632
Y207KA0200XPhysicians
Allergy & Immunology
CO43625

Other Provider Identifiers:

IssuerNumberStateType
57393LA05
56536836CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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