Provider Demographics
NPI:1720300601
Name:MCMANAMAN, COLLEEN MARGARETE (DO)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARGARETE
Last Name:MCMANAMAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2 S CASCADE AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1604
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2990
Practice Address - Street 1:15909 JACKSON CREEK PKWY
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-8693
Practice Address - Country:US
Practice Address - Phone:719-522-1133
Practice Address - Fax:719-365-7421
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0049445207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine