| Internal Medicine Associates Of Pueblo P.c. | |
|
1619 N Greenwood St Suite 106 Pueblo CO 81003-2644 | |
| (719) 545-5297 | |
| (719) 583-9682 |
| Full Name | Internal Medicine Associates Of Pueblo P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1619 N Greenwood St, Pueblo, Colorado |
| Authorized Official Name and Position | Janice Elaine Kulik (PRESIDENT) |
| Authorized Official Contact | 7195455297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Pueblo P.c. 1619 N Greenwood St Suite 106 Pueblo CO 81003-2644 Ph: (719) 545-5297 | Internal Medicine Associates Of Pueblo P.c. 1619 N Greenwood St Suite 106 Pueblo CO 81003-2644 Ph: (719) 545-5297 |
| NPI Number | 1487664918 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664918 | NPI | - | NPPES |
| 0126132 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26132 (Colorado) | Primary |
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