Marilyn A Dippold
Medical Specialty
Professional ID
- NPI: 1831198613
- PECOS ID: 0446246334
- Enrollment ID: I20040427001123
- Credential(MD, DO, DPM): NP
- Medical School: Georgetown University Of Medicine
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 060022
- Business Name (LBN)1: University Colo Health Memorial Hospital Central
- Hospital CCN2: 060031
- Business Name (LBN)2: Centura Health-penrose St Francis Health Services
- Hospital CCN3: 061326
- Business Name (LBN)3: Pikes Peak Regional Hospital
Medical Practices
- Organization Name: Southern Colorado Medicine Inc
- Group Practice ID assigned by PECOS: 6507019056
- Number of Group Practice member: 2
Location
- Address1: 8890 N Union Blvd
- Address2: Suite 185
- City: Colorado Springs
- State: Colorado
- Zip Code: 80920
- Phone Number: (719)494-1950
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):