Sangre De Cristo Internal Medicine Associates

NPI 1104808690 - Internal Medicine - 207R00000X

NPI Details
NPI 1104808690
Enumeration Date 11/18/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DOUGLAS FLOYD DOUGLAS
Position PRESIDENT/PHYSICIAN
Phone (719) 542-3100
Fax
Practice Location
1600 N GRAND AVE
PUEBLO CO, 81003-2757, US
Phone (719) 542-3100
Fax
Business Location
1600 N GRAND AVE
PUEBLO CO, 81003-2757, US
Phone (719) 542-3100
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Colorado
License Number 43850
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According to our database, Sangre De Cristo Internal Medicine Associates NPI is 1104808690, taxonomy code is 207R00000X and license number is 43850, license state is located at Colorado. Sangre De Cristo Internal Medicine Associates physically located at 1600 N Grand Ave, Pueblo CO, 81003-2757. NPI Number 1033115704 has the healthcare provider type.

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1104808690 NPI number is provided on an as is basis without warranty of any kind. 1104808690 is maintained by the National Plan & Provider Enumeration System. The contents of Sangre De Cristo Internal Medicine Associates are for informational purposes only.