Ent Clinic Of Pueblo Prof Llc

NPI 1376595504 - Otolaryngology - 207Y00000X

NPI Details
NPI 1376595504
Enumeration Date 05/16/2006
Last Updated 01/30/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLENE J CHARLENE
Position OWNER/PARTNER
Phone (719) 544-3752
Fax (719) 542-1794
Practice Location
1304 N GRAND AVE
PUEBLO CO, 81003-2759, US
Phone (719) 544-3752
Fax (719) 542-1794
Business Location
1304 N GRAND AVE
PUEBLO CO, 81003-2759, US
Phone (719) 544-3752
Fax (719) 542-1794
Toxanomy
Taxonomy Code 207Y00000X
License State
License Number
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According to our database, Ent Clinic Of Pueblo Prof Llc NPI is 1376595504, taxonomy code is 207Y00000X Ent Clinic Of Pueblo Prof Llc physically located at 1304 N Grand Ave, Pueblo CO, 81003-2759. NPI Number 1033115704 has the healthcare provider type.

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1376595504 NPI number is provided on an as is basis without warranty of any kind. 1376595504 is maintained by the National Plan & Provider Enumeration System. The contents of Ent Clinic Of Pueblo Prof Llc are for informational purposes only.