Provider Demographics
NPI:1154589836
Name:FLAUM, AGNES MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:AGNES
Middle Name:MARIE
Last Name:FLAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2020 N ACADEMY BLVD STE 155
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1569
Mailing Address - Country:US
Mailing Address - Phone:719-380-7210
Mailing Address - Fax:
Practice Address - Street 1:2020 N ACADEMY BLVD
Practice Address - Street 2:STE 155
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1569
Practice Address - Country:US
Practice Address - Phone:719-219-2320
Practice Address - Fax:719-219-2321
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO0056860207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine