Pueblo Family Medicine, Pc in Pueblo - Primary Care
Pueblo Family Medicine, Pc - NPI 1114149986
Pueblo Family Medicine, Pc is a Primary Care in Pueblo, Colorado. Pueblo Family Medicine, Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Pueblo Family Medicine, Pc is 1114149986. The last update date is 2010-01-22.
Pueblo Family Medicine, Pc's current location address is 1600 N Grand Ave Ste 310, Pueblo, Colorado. You can contact this provider via phone number 7195420072 and fax number 7195429888. The mailing address for Pueblo Family Medicine, Pc is 1600 N Grand Ave Ste 310, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pueblo Family Medicine, Pc |
|---|---|
| Address | 1600 N Grand Ave Ste 310, Pueblo, Colorado |
| Phone Number | 7195420072 |
| Fax Number | 7195429888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Berens W Gregory |
| Credentials | MD |
| Telephone Number | 7195420072 |
NPI Number Detail
| NPI Number | 1114149986 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2010-01-22 |
Provider Mailing Address Detail
| Address | 1600 N Grand Ave Ste 310 |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810032729 |
| Phone Number | 7195420072 |
| Fax Number | 7195429888 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pueblo Family Medicine, Pc by the Centers for Medicare & Medicaid Services?
The Pueblo Family Medicine, Pc has been assigned the NPI (National Provider Identifier) 1114149986 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Pueblo Family Medicine, Pc located?
The Pueblo Family Medicine, Pc is located at 1600 N Grand Ave Ste 310, Pueblo, CO 810032729.
What is Pueblo Family Medicine, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pueblo Family Medicine, Pc is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114149986 to Pueblo Family Medicine, Pc?
The Pueblo Family Medicine, Pc received its 1114149986 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the details pertaining to Pueblo Family Medicine, Pc last refreshed?
The information related to the Pueblo Family Medicine, Pc, including its address, specialty, and other relevant details, was last updated on 2010-01-22.
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