| Cmg Rocky Mountain Sports & Family Medicine Pueblo | |
|
4112 Outlook Blvd Ste 303 Pueblo CO 81008-1667 | |
| (719) 557-8600 | |
| (719) 557-8615 |
| Full Name | Cmg Rocky Mountain Sports & Family Medicine Pueblo |
|---|---|
| Speciality | Family Medicine |
| Location | 4112 Outlook Blvd Ste 303, Pueblo, Colorado |
| Authorized Official Name and Position | Angela Jo Skinner (ADMINISTRATOR OMA) |
| Authorized Official Contact | 7206677283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Rocky Mountain Sports & Family Medicine Pueblo Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Cmg Rocky Mountain Sports & Family Medicine Pueblo 4112 Outlook Blvd Ste 303 Pueblo CO 81008-1667 Ph: (719) 557-8600 |
| NPI Number | 1346851268 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346851268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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