Colorado Department of Corrections

NPI #1235027889 in Pueblo, Colorado

Provider Information

NPI Number
1235027889
Entity Type
Organization
Organization Name
Colorado Department of Corrections
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF COLORADO
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
Jun 24, 2025
Last Updated
Jul 14, 2025

Practice Location

Address
1401 W 17TH ST
City
Pueblo
ZIP Code
81003-1929
Phone
(719) 583-5851

Authorized Official

Name
DR. RANDOLPH MAUL, MD
Title
CHIEF MEDICAL OFFICER
Phone
(719) 306-2821

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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