| NPI | 1851198444 |
|---|---|
| Doing Business As | PUEBLO PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONDA ORNDOFF Owner/Provider 719-250-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-06-12 |