| Southern Colorado Clinic Pc | |
|
4112 Outlook Blvd Ste 290 Pueblo CO 81008-1667 | |
| (719) 553-2235 | |
| (833) 916-2049 |
| Full Name | Southern Colorado Clinic Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 4112 Outlook Blvd Ste 290, 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) 553-2235 | Southern Colorado Clinic Pc 4112 Outlook Blvd Ste 290 Pueblo CO 81008-1667 Ph: (719) 553-2235 |
| NPI Number | 1619562824 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619562824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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