Urology of Southern Colorado Pllc

NPI #1104001379 in Pueblo, Colorado

Provider Information

NPI Number
1104001379
Entity Type
Organization
Organization Name
Urology of Southern Colorado Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 7, 2008
Last Updated
Oct 15, 2009

Practice Location

Address
3676 PARKER BLVD
Address 2
SUITE 310
City
Pueblo
ZIP Code
81008-2212
Phone
(719) 545-1500

Authorized Official

Name
DANA JOAN WEAVER-OSTERHOLTZ, M.D.
Title
OWNER
Phone
(719) 676-3728

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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