| Family Medicine Of Pueblo Pllc | |
|
900 Indiana Ave Suite C Pueblo CO 81004-3767 | |
| (719) 561-2289 | |
| (719) 565-1370 |
| Full Name | Family Medicine Of Pueblo Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Indiana Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Pamela Jean Aschenbrener (OWNER) |
| Authorized Official Contact | 7195612289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Pueblo Pllc 900 Indiana Ave Suite C Pueblo CO 81004-3767 Ph: (719) 561-2289 | Family Medicine Of Pueblo Pllc 900 Indiana Ave Suite C Pueblo CO 81004-3767 Ph: (719) 561-2289 |
| NPI Number | 1912995929 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912995929 | NPI | - | NPPES |
| 43206514 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
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