| |
4722 Eagleridge Circle Pueblo CO 81008-2120 | |
(719) 595-7563 | |
(719) 595-7907 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 4722 Eagleridge Circle, Pueblo, Colorado |
Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7195957563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | 4722 Eagleridge Circle Pueblo CO 81008-2120 Ph: (719) 595-7563 |
NPI Number | 1851933030 |
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Provider Enumeration Date | 10/09/2019 |
Last Update Date | 12/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851933030 | NPI | - | NPPES |
81531869 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
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 |