| Marc Pueblo Sud | |
|
41 Montebello Rd Ste 120 Pueblo CO 81001-1366 | |
| (719) 423-1500 | |
| Not Available |
| Full Name | Marc Pueblo Sud |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 41 Montebello Rd Ste 120, Pueblo, Colorado |
| Authorized Official Name and Position | Jason Chippeaux (PRESIDENT/CEO) |
| Authorized Official Contact | 7195452746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Pueblo Sud 41 Montebello Rd Ste 204 Pueblo CO 81001-1379 Ph: (719) 545-2746 | Marc Pueblo Sud 41 Montebello Rd Ste 120 Pueblo CO 81001-1366 Ph: (719) 423-1500 |
| NPI Number | 1992302889 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992302889 | NPI | - | NPPES |
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