| |
4117 N Elizabeth St Pueblo CO 81008-2009 | |
(719) 545-0788 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 4117 N Elizabeth St, Pueblo, Colorado |
Authorized Official Name and Position | Robert G Hassett (VP) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5080 Spectrum Dr Ste 1200w Addison TX 75001-4624 Ph: () - | 4117 N Elizabeth St Pueblo CO 81008-2009 Ph: (719) 545-0788 |
NPI Number | 1053954867 |
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Provider Enumeration Date | 10/24/2019 |
Last Update Date | 04/21/2022 |
Identifier | Type | State | Issuer |
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1053954867 | NPI | - | NPPES |
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