| |
1600 N Grand Ave Ste 300 Pueblo CO 81003-2762 | |
(719) 562-2001 | |
(719) 562-2011 |
Full Name | |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1600 N Grand Ave Ste 300, Pueblo, Colorado |
Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7195622001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | 1600 N Grand Ave Ste 300 Pueblo CO 81003-2762 Ph: (719) 562-2001 |
NPI Number | 1790327112 |
---|---|
Provider Enumeration Date | 10/17/2019 |
Last Update Date | 12/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790327112 | NPI | - | NPPES |
9000162962 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Digestive Diseases Specialists Of Colorado,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003 Phone: 719-543-3500 Fax: 719-543-3504 | |
Aleracare Of Colorado, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008 Phone: 888-209-8874 | |
Front Range Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 E Routt Ave, Pueblo, CO 81004 Phone: 720-808-0051 | |
Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 |