Organization · Type 2 NPI

Pueblo West Primary Care LLC

Family Medicine Physician · Pueblo West, CO

NPI number 1659939403 Active

Practice location

141 S Purcell Blvd Ste 140
Pueblo West, CO 81007-5123

Fax (719) 960-2054

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Pueblo West

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NPI record

NPI: 1659939403
Entity type: Organization (Type 2)
Issued: Jun 5, 2019
Last updated: Oct 29, 2019
Status: Active

Other names

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Pueblo West Primary Care · doing business as
Pueblo West Primary Care · doing business as

Authorized official

Terri Shawcroft
Office Manager
(719) 251-9465

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659939403

Pueblo West Primary Care LLC's National Provider Identifier is 1659939403, issued on Jun 5, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pueblo West, CO. The record was last updated on Oct 29, 2019.