Organization · Type 2 NPI

Southern Colorado Clinic PC

Clinic/Center · Pueblo, CO

NPI number 1790677680 Active

Practice location

314 W 16th St
Pueblo, CO 81003-2728

Mailing address

PO Box 9000
Pueblo, CO 81008-9000

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1790677680

Southern Colorado Clinic PC's National Provider Identifier is 1790677680, issued on Jul 16, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 16, 2025.