| Summit Primary Care | |
|
1120 Minnequa Ave Pueblo CO 81004-3734 | |
| (719) 281-3285 | |
| Not Available |
| Full Name | Summit Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 Minnequa Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Nicole Dennis (VICE PRESIDENT) |
| Authorized Official Contact | 1930084337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Primary Care Po Box 5300 Colorado Springs CO 80931-5300 Ph: (303) 253-0896 | Summit Primary Care 1120 Minnequa Ave Pueblo CO 81004-3734 Ph: (719) 281-3285 |
| NPI Number | 1316561558 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316561558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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