IDEAL FAMILY MEDICINE, LTD

PUEBLO, CO
NPI1255865713
Entity TypeOrganization
Authorized ContactJADE BRYANT
Owner
719-582-1489
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  0992962)
Enumeration Date2017-04-11
Last Update Date2024-03-04
Business Address
IDEAL FAMILY MEDICINE, LTD
1910 LAKE AVE
PUEBLO, CO 81004-3322
Phone number: 719-582-1489
Mailing Address
IDEAL FAMILY MEDICINE, LTD
19 E ABARR DR # 200
PUEBLO, CO 81007-5436
Phone number: 719-582-1489
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