Provider Demographics
NPI:1891152203
Name:ATLAS INTEGRATION LLC
Entity Type:Organization
Organization Name:ATLAS INTEGRATION LLC
Other - Org Name:ATLAS PHYSICAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-278-3612
Mailing Address - Street 1:5490 POWERS CENTER PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7166
Mailing Address - Country:US
Mailing Address - Phone:719-278-3612
Mailing Address - Fax:
Practice Address - Street 1:5490 POWERS CENTER PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7166
Practice Address - Country:US
Practice Address - Phone:719-278-3612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty