| Pueblo Infectious Diseases, Pllc | |
|
St. Mary Corwin Medical Center 1008 Minnequa Ave Pueblo CO 81004 | |
| (719) 557-5000 | |
| Not Available |
| Full Name | Pueblo Infectious Diseases, Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | St. Mary Corwin Medical Center, Pueblo, Colorado |
| Authorized Official Name and Position | John Lieberman (PHYSICIAN) |
| Authorized Official Contact | 7193697767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Infectious Diseases, Pllc 1505 Gumwood Dr Colorado Springs CO 80906-7707 Ph: (719) 369-7767 | Pueblo Infectious Diseases, Pllc St. Mary Corwin Medical Center 1008 Minnequa Ave Pueblo CO 81004 Ph: (719) 557-5000 |
| NPI Number | 1275866907 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275866907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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