Individual provider · Type 1 NPI

Nathan Vicknair, STUDENT

Gastroenterology Physician · Pueblo, CO

NPI number 1376171298 Active

Practice location

400 W 16th St
Pueblo, CO 81003-2745

Call (719) 584-4000 Map

Mailing address

216 W 10th Ave Ste 202
Kennewick, WA 99336-6304

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100X352219 (LA)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

234 other providers at this address

Other gastroenterology physician providers in Pueblo

See all in Pueblo →

About NPI 1376171298

Nathan Vicknair, STUDENT's National Provider Identifier is 1376171298, issued on Mar 27, 2020. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Pueblo, CO. The record was last updated on Aug 6, 2026.