Corwin Clinic Surgical Professional Corp in Pueblo - Specialist
Corwin Clinic Surgical Professional Corp - NPI 1356492219
Corwin Clinic Surgical Professional Corp is a Specialist in Pueblo, Colorado. Corwin Clinic Surgical Professional Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Corwin Clinic Surgical Professional Corp is 1356492219. The last update date is 2011-03-23.
Corwin Clinic Surgical Professional Corp's current location address is 1925 E Orman Ave Ste A109, Pueblo, Colorado. You can contact this provider via phone number 7195640210 and fax number 7195649483. The mailing address for Corwin Clinic Surgical Professional Corp is 1925 E Orman Ave Ste A109, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Corwin Clinic Surgical Professional Corp |
|---|---|
| Address | 1925 E Orman Ave Ste A109, Pueblo, Colorado |
| Phone Number | 7195640210 |
| Fax Number | 7195649483 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lane E. Gary |
| Credentials | MD |
| Telephone Number | 7195640210 |
NPI Number Detail
| NPI Number | 1356492219 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2011-03-23 |
Provider Mailing Address Detail
| Address | 1925 E Orman Ave Ste A109 |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810043555 |
| Phone Number | 7195640210 |
| Fax Number | 7195649483 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4011417 | CO | -- |
Post Comment/ Review Below
What is the Corwin Clinic Surgical Professional Corp's unique identification number?
The Corwin Clinic Surgical Professional Corp has been assigned the NPI (National Provider Identifier) Number 1356492219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Corwin Clinic Surgical Professional Corp?
The Corwin Clinic Surgical Professional Corp is situated at 1925 E Orman Ave Ste A109, in the city of Pueblo, state of CO, with the zip code 810043555.
What is Corwin Clinic Surgical Professional Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Corwin Clinic Surgical Professional Corp is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Corwin Clinic Surgical Professional Corp's 1356492219 issued?
The Corwin Clinic Surgical Professional Corp's 1356492219 was issued on 2007-01-16.
When was the information pertaining to Corwin Clinic Surgical Professional Corp most recently updated or revised?
The details related to Corwin Clinic Surgical Professional Corp, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-23.