Wendy A Bulow is a Physician Assistant in Pueblo, Colorado. Wendy A Bulow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendy A Bulow is 1376579540. The last update date is 2007-07-08.
Wendy A Bulow's current location address is 310 Colorado Ave, Pueblo, Colorado. You can contact this provider via phone number 7195438718 and fax number 7195435340. The mailing address for Wendy A Bulow is 310 Colorado Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy A Bulow |
|---|---|
| Address | 310 Colorado Ave, Pueblo, Colorado |
| Phone Number | 7195438718 |
| Fax Number | 7195435340 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1376579540 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 Colorado Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 81004 |
| Phone Number | 7195438718 |
| Fax Number | 7195435340 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1675 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85478075 | CO | -- |
Post Comment/ Review Below
Could you please share the complete physical location address where Wendy A Bulow's facilities are situated?
The facilities of Wendy A Bulow are physically located at the following address: 310 Colorado Ave, Pueblo, CO, 81004.
What is Wendy A Bulow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendy A Bulow's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1376579540 assigned to Wendy A Bulow?
The Wendy A Bulow was issued its 1376579540 on 2006-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Wendy A Bulow receive the assignment of its 1376579540 from the Centers for Medicare & Medicaid Services?
The Wendy A Bulow was issued its 1376579540 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Wendy A Bulow most recently updated?
The details pertaining to the Wendy A Bulow, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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