Basic Information
Provider Information
NPI: 1285013912
EntityType: 2
ReplacementNPI:  
OrganizationName: CALL THE DOCTOR INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 611
Address2:  
City: MONUMENT
State: CO
PostalCode: 801320611
CountryCode: US
TelephoneNumber: 7024533799
FaxNumber: 7024535741
Practice Location
Address1: 1501 E 3RD ST
Address2:  
City: DELTA
State: CO
PostalCode: 814162815
CountryCode: US
TelephoneNumber: 7024533799
FaxNumber: 7024535741
Other Information
ProviderEnumerationDate: 05/27/2015
LastUpdateDate: 05/27/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CALL
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: MOORE
AuthorizedOfficialTitleorPosition: SOLE OWNER
AuthorizedOfficialTelephone: 7192057674
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XDR0044440COY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home