Organization · Type 2 NPI

Southern Colorado Nephrology Assoc PC

Specialist · Pueblo, CO

NPI number 1083642144 Active

Practice location

3426 Lake Ave, 120
Pueblo, CO 81004-3877

Call (719) 561-5264 Map

Fax (719) 561-5272

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083642144

Southern Colorado Nephrology Assoc PC's National Provider Identifier is 1083642144, issued on Jun 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 2, 2007.