| NPI | 1659939403 |
|---|---|
| Doing Business As | PUEBLO WEST PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TERRI SHAWCROFT Office Manager 719-251-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-10-29 |