JED JITSUGO TATSUYAMA

PUEBLO, CO
NPI1114960192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  41404)
Enumeration Date2006-06-14
Last Update Date2008-04-30
Business Address
Dr. JED JITSUGO TATSUYAMA MD
1619 N GREENWOOD ST SUITE 200
PUEBLO, CO 81003-2644
Phone number: 719-543-1130
Mailing Address
Dr. JED JITSUGO TATSUYAMA MD
1619 N GREENWOOD STREET SUITE 200
PUEBLO, CO 81003
Phone number: 719-543-1130
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