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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.

Location: 509 Colorado Ave Ste C, Pueblo, CO, 81004-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Pueblo
State
Colorado
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
Pueblo
State
Colorado
Zip
81004-2008
Phone Number
719-696-9828
Fax Number
719-696-9862
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
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
261QP2300X
License No.
44011 (Colorado)
Definition
Definition to come...
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