institution
Jandyco, Llc
Primary Care Clinic/Center in Pueblo, Colorado
NPI 1346586088

Jandyco, Llc is a Primary Care Clinic/Center based in Pueblo, CO and is specialized in Primary Care. Jandyco, Llc practices in Pueblo, CO. The NPI Number for Jandyco, Llc is 1346586088 and holds a License No. 44011 (Colorado).

The current practice location address for Jandyco, Llc is 509 Colorado Ave Ste C, Pueblo, CO and can be reached out via phone at 719-696-9828 and via fax at 719-696-9862. You can also correspond with Jandyco, Llc through the mailing address at 509 COLORADO AVE STE C, PUEBLO, CO - 81004-2008 (mailing address contact number: 719-214-2005).

Location: 509 Colorado Ave Ste C, Pueblo, CO, 81004-2008
institution
Provider Profile Details
NPI Number
1346586088
Provider Name
Jandyco, Llc
Credential
Provider Entity Type
Organization
Address
509 Colorado Ave Ste C, Pueblo, CO, 81004-2008
Phone Number
719-696-9828
Fax Number
719-696-9862
Provider Enumeration Date
12/28/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29732581 05 CO
institution
Provider Business Practice Location Address Details
Address
509 Colorado Ave Ste C
City
State
Zip
81004-2008
Phone Number
719-696-9828
Fax Number
719-696-9862
person
Provider Business Mailing Address Details
Address
509 Colorado Ave Ste C
City
State
Zip
81004-2008
Phone Number
719-214-2005
Fax Number
719-696-9862
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
44011 (Colorado)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
44011 (Colorado)
Definition
Definition to come...
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