INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC

PUEBLO, CO
NPI1922351279
Entity TypeOrganization
Authorized ContactVICTOR NWANGUMA
CEO
719-582-8425
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: CO  DR51262)
Enumeration Date2012-10-24
Last Update Date2023-01-29
Business Address
INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC
2001 LAKE AVE SUITE 2
PUEBLO, CO 81004-3538
Phone number: 719-582-8425
Mailing Address
INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC
PO BOX 470238
AURORA, CO 80047-0238
Phone number: 719-582-8425
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