| Traditional Family Medicine Center At Centura Health | |
|
1925 E. Orman Ave. Suite A-345 Pueblo CO 81004 | |
| (719) 557-3501 | |
| (719) 557-3545 |
| Full Name | Traditional Family Medicine Center At Centura Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1925 E. Orman Ave., Pueblo, Colorado |
| Authorized Official Name and Position | David P Hesselink (VP-FINANCE PE) |
| Authorized Official Contact | 3038048136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditional Family Medicine Center At Centura Health P.o. Box 911057 Denver CO 80291-1057 Ph: (303) 486-5401 | Traditional Family Medicine Center At Centura Health 1925 E. Orman Ave. Suite A-345 Pueblo CO 81004 Ph: (719) 557-3501 |
| NPI Number | 1720369150 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720369150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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