| Doing Business As: Adult Outpatient Billing | |
|
1304 Chinook Ln Pueblo CO 81001-1851 | |
| (719) 545-2746 | |
| Not Available |
| Full Name | Doing Business As: Adult Outpatient Billing |
|---|---|
| Speciality | Clinic/center |
| Location | 1304 Chinook Ln, 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 |
|---|---|
| Doing Business As: Adult Outpatient Billing 41 Montebello Rd Ste 204 Pueblo CO 81001-1379 Ph: (719) 545-2746 | Doing Business As: Adult Outpatient Billing 1304 Chinook Ln Pueblo CO 81001-1851 Ph: (719) 545-2746 |
| NPI Number | 1770158388 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770158388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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