| NPI | 1154114361 |
|---|---|
| Doing Business As | OLD PUEBLO SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN EDWARD CASTLE Owner 520-603-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-06-01 |