Generations Primary Care, Llc | |
44 E Spaulding Ave Building 2, Suite 3 Pueblo West CO 81007 | |
(719) 281-1605 | |
(719) 988-9677 |
Full Name | Generations Primary Care, Llc |
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Speciality | Family Medicine |
Location | 44 E Spaulding Ave, Pueblo West, Colorado |
Authorized Official Name and Position | Scott Davidson (CEO) |
Authorized Official Contact | 7192811605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Generations Primary Care, Llc 44 E Spaulding Ave Box 6 Pueblo West CO 81007 Ph: (719) 281-1605 | Generations Primary Care, Llc 44 E Spaulding Ave Building 2, Suite 3 Pueblo West CO 81007 Ph: (719) 281-1605 |
NPI Number | 1194590372 |
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Provider Enumeration Date | 11/17/2023 |
Last Update Date | 11/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194590372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Pueblo West Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 S Purcell Blvd Ste 140, Pueblo West, CO 81007 Phone: 719-281-9587 Fax: 719-960-2054 |