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Infectious Disease Specialist Of Southern Colorado, Pllc
Clinic/Center in Pueblo, Colorado
NPI 1922351279

Infectious Disease Specialist Of Southern Colorado, Pllc is a Clinic/Center based in Aurora, CO. Infectious Disease Specialist Of Southern Colorado, Pllc practices in Pueblo, CO. The NPI Number for Infectious Disease Specialist Of Southern Colorado, Pllc is 1922351279 and holds a License No. DR51262 (Colorado).

The current practice location address for Infectious Disease Specialist Of Southern Colorado, Pllc is 2001 Lake Ave, Pueblo, CO and can be reached out via phone at 719-582-8425 and via fax at 888-719-1380.

Location: 2001 Lake Ave, Pueblo, CO, 80047-0238
institution
Provider Profile Details
NPI Number
1922351279
Provider Name
Infectious Disease Specialist Of Southern Colorado, Pllc
Credential
Provider Entity Type
Organization
Address
2001 Lake Ave, Pueblo, CO, 80047-0238
Phone Number
719-582-8425
Fax Number
888-719-1380
Provider Enumeration Date
10/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336601387 01 NPI
institution
Provider Business Practice Location Address Details
Address
2001 Lake Ave
City
State
Zip
81004-3538
Phone Number
719-582-8425
Fax Number
888-719-1380
person
Provider Business Mailing Address Details
Address
2001 Lake Ave
City
State
Zip
81004-3538
Phone Number
719-582-8425
Fax Number
888-719-1380
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
DR51262 (Colorado)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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