Organization · Type 2 NPI
Jandyco, LLC
Addiction Medicine (Family Medicine) Physician · Pueblo, CO
NPI number
1346586088
Active
Practice location
509 Colorado Ave Ste C
Pueblo, CO 81004-2008
Fax (719) 696-9862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 44011 (CO) |
| Primary Care Clinic/Center | 261QP2300X | 44011 (CO) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
Another provider at this address
Other addiction medicine (family medicine) physician providers in Pueblo
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- Rocky Mountain Clinics, LLCAddiction Medicine (Family Medicine) Physician Pueblo, CO NPI 1154136950
- Rocky Mountain Clinics LLCAddiction Medicine (Family Medicine) Physician Pueblo, CO NPI 1295451185
- Rocky Mountain Clinics LLCAddiction Medicine (Family Medicine) Physician Pueblo, CO NPI 1417673021
- Front Range Clinic Inc.Addiction Medicine (Family Medicine) Physician Pueblo, CO NPI 1538755095
About NPI 1346586088
Jandyco, LLC's National Provider Identifier is 1346586088, issued on Dec 28, 2012. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Pueblo, CO. The record was last updated on Jul 21, 2022.