| Perry Hall Pc | |
|
1591 Taos Rd Pueblo CO 81006-1232 | |
| (719) 545-2746 | |
| Not Available |
| Full Name | Perry Hall Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1591 Taos Rd, Pueblo, Colorado |
| Authorized Official Name and Position | Jennifer Rudnik (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7194231341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Hall Pc 41 Montebello Rd Ste 204 Pueblo CO 81001-1379 Ph: (719) 545-2746 | Perry Hall Pc 1591 Taos Rd Pueblo CO 81006-1232 Ph: (719) 545-2746 |
| NPI Number | 1922848738 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922848738 | NPI | - | NPPES |
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