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Urology Of Southern Colorado Pllc
Medical Specialty Clinic/Center in Pueblo, Colorado
NPI 1104001379

Urology Of Southern Colorado Pllc is a Medical Specialty Clinic/Center based in Pueblo, CO and is specialized in Medical Specialty. Urology Of Southern Colorado Pllc practices in Pueblo, CO. The NPI Number for Urology Of Southern Colorado Pllc is 1104001379 and holds a License No. 40134 (Colorado).

The current practice location address for Urology Of Southern Colorado Pllc is 3676 Parker Blvd, Pueblo, CO and can be reached out via phone at 719-545-1500. You can also correspond with Urology Of Southern Colorado Pllc through the mailing address at 3676 PARKER BLVD, PUEBLO, CO - 81008-2212 (mailing address contact number: 719-545-1500).

Location: 3676 Parker Blvd, Pueblo, CO, 81008-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104001379
Provider Name
Urology Of Southern Colorado Pllc
Credential
Provider Entity Type
Organization
Address
3676 Parker Blvd, Pueblo, CO, 81008-2212
Phone Number
719-545-1500
Fax Number
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48477877 05 CO
institution
Provider Business Practice Location Address Details
Address
3676 Parker Blvd
City
Pueblo
State
Colorado
Zip
81008-2212
Phone Number
719-545-1500
Fax Number
person
Provider Business Mailing Address Details
Address
3676 Parker Blvd
City
Pueblo
State
Colorado
Zip
81008-2212
Phone Number
719-545-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
40134 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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