Southern Colorado Nephrology Assoc PC

NPI #1083642144 in Pueblo, Colorado

Provider Information

NPI Number: 1083642144
Entity Type: Organization
Organization Name: Southern Colorado Nephrology Assoc PC
Primary Specialty: Specialist
Enumeration Date: Jun 29, 2006
Last Updated: Nov 2, 2007

Practice Location

Address: 3426 LAKE AVE
Address 2: 120
City: Pueblo
State: Colorado
ZIP Code: 81004-3877
Phone: (719) 561-5264

Authorized Official

Name: JULIETTE GIEBEL
Title: OFFICE MANAGER
Phone: (719) 561-5264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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