Basic Information
Provider Information
NPI: 1992881338
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCIS
FirstName: JEREMY
MiddleName: CRAIG
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1650 COCHRANE CIR
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809134613
CountryCode: US
TelephoneNumber: 7195262092
FaxNumber: 7195267732
Practice Location
Address1: 1650 COCHRANE CIR
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809134613
CountryCode: US
TelephoneNumber: 7195262092
FaxNumber: 7195267732
Other Information
ProviderEnumerationDate: 10/28/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XDR.0056767COY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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