| Cmg Southern Colorado Family Medicine St. Mary-corwin | |
|
902 Lakeview Ave Pueblo CO 81004-3597 | |
| (719) 557-5855 | |
| (719) 557-5097 |
| Full Name | Cmg Southern Colorado Family Medicine St. Mary-corwin |
|---|---|
| Speciality | Family Medicine |
| Location | 902 Lakeview Ave, 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 Southern Colorado Family Medicine St. Mary-corwin Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Cmg Southern Colorado Family Medicine St. Mary-corwin 902 Lakeview Ave Pueblo CO 81004-3597 Ph: (719) 557-5855 |
| NPI Number | 1972114676 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972114676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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