SOUTHERN COLORADO DERMATOLOGY CLINIC PC

PUEBLO, CO
NPI1548409139
Entity TypeOrganization
Authorized ContactKRYSTAL JEAN NAKAMURA
Owner
719-564-5544
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CO  44146)
Enumeration Date2009-02-05
Last Update Date2021-05-25
Business Address
SOUTHERN COLORADO DERMATOLOGY CLINIC PC
900 INDIANA AVE STE C
PUEBLO, CO 81004-3767
Phone number: 719-564-5544
Mailing Address
SOUTHERN COLORADO DERMATOLOGY CLINIC PC
900 INDIANA AVE STE C
PUEBLO, CO 81004-3767
Phone number: 719-564-5544