Christopher R Dpersio Dpm Prof Llc

NPI 1083814883 - Clinic/Center - 261QP1100X

NPI Details
NPI 1083814883
Enumeration Date 07/19/2007
Last Updated 12/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER JENNIFER
Position OFFICE MANAGER
Phone (719) 584-3338
Fax (719) 584-3337
Practice Location
5 STADIUM PL
PUEBLO CO, 81004-1129, US
Phone (719) 584-3338
Fax (719) 584-3337
Business Location
5 STADIUM PL
PUEBLO CO, 81004-1129, US
Phone (719) 584-3338
Fax (719) 584-3337
Toxanomy
Taxonomy Code 261QP1100X
License State Colorado
License Number 531
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According to our database, Christopher R Dpersio Dpm Prof Llc NPI is 1083814883, taxonomy code is 261QP1100X and license number is 531, license state is located at Colorado. Christopher R Dpersio Dpm Prof Llc physically located at 5 Stadium Pl, Pueblo CO, 81004-1129. NPI Number 1033115704 has the healthcare provider type.

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1083814883 NPI number is provided on an as is basis without warranty of any kind. 1083814883 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher R Dpersio Dpm Prof Llc are for informational purposes only.