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 |
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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 |
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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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