| Southern Colorado Clinic Pc | |
|
3937 Ivywood Ln Pueblo CO 81005-2551 | |
| (719) 553-0111 | |
| Not Available |
| Full Name | Southern Colorado Clinic Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 3937 Ivywood Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Jennifer Arellano (COO) |
| Authorized Official Contact | 7195531801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Colorado Clinic Pc Po Box 9000 Pueblo CO 81008-9000 Ph: (719) 553-2200 | Southern Colorado Clinic Pc 3937 Ivywood Ln Pueblo CO 81005-2551 Ph: (719) 553-0111 |
| NPI Number | 1598371056 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598371056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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