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Qualicenters Pueblo, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canon City, Colorado
NPI 1720190523

Qualicenters Pueblo, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Canon City, CO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Qualicenters Pueblo, Llc practices in Canon City, CO. The NPI Number for Qualicenters Pueblo, Llc is 1720190523 and holds a License No. (Colorado).

The current practice location address for Qualicenters Pueblo, Llc is 2245 Fremont Dr, Canon City, CO and can be reached out via phone at 719-276-8404 and via fax at 719-276-0015.

Location: 2245 Fremont Dr, Canon City, CO, 81212-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720190523
Provider Name
Qualicenters Pueblo, Llc
Credential
Provider Entity Type
Organization
Address
2245 Fremont Dr, Canon City, CO, 81212-2533
Phone Number
719-276-8404
Fax Number
719-276-0015
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2245 Fremont Dr
City
Canon City
State
Colorado
Zip
81212-2533
Phone Number
719-276-8404
Fax Number
719-276-0015
person
Provider Business Mailing Address Details
Address
2245 Fremont Dr
City
Canon City
State
Colorado
Zip
81212-2533
Phone Number
719-276-8404
Fax Number
719-276-0015
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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