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Dr. Jed Jitsugo Tatsuyama, MD
Family Medicine Physician in Pueblo, Colorado
NPI 1114960192

Jed Jitsugo Tatsuyama is a Family Medicine Physician based in Pueblo, CO. Jed Jitsugo Tatsuyama practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Jed Jitsugo Tatsuyama is 1114960192 and holds a License No. 41404 (Colorado).

The current practice location address for Jed Jitsugo Tatsuyama is 1619 N Greenwood St, Pueblo, CO and can be reached out via phone at 719-543-1130 and via fax at 719-561-2764.

Location: 1619 N Greenwood St, Pueblo, CO, 81003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114960192
Provider Name
Jed Jitsugo Tatsuyama
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1619 N Greenwood St, Pueblo, CO, 81003
Phone Number
719-543-1130
Fax Number
719-561-2764
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62287338 05 CO
institution
Provider Business Practice Location Address Details
Address
1619 N Greenwood St
City
Pueblo
State
Colorado
Zip
81003-2644
Phone Number
719-543-1130
Fax Number
719-561-2764
person
Provider Business Mailing Address Details
Address
1619 N Greenwood St
City
Pueblo
State
Colorado
Zip
81003-2644
Phone Number
719-543-1130
Fax Number
719-561-2764
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
41404 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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