Organization · Type 2 NPI

Infectious Disease Specialist of Southern Colorado, PLLC

Clinic/Center · Pueblo, CO

NPI number 1922351279 Active

Practice location

2001 Lake Ave, Suite 2
Pueblo, CO 81004-3538

Fax (888) 719-1380

Mailing address

PO Box 470238
Aurora, CO 80047-0238

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XDR51262 (CO)

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 1922351279

Infectious Disease Specialist of Southern Colorado, PLLC's National Provider Identifier is 1922351279, issued on Oct 24, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pueblo, CO. The record was last updated on Jan 29, 2023.