Premier Back Rehabilitation Center, PC

NPI #1598829327 in Pueblo, Colorado

Provider Information

NPI Number: 1598829327
Entity Type: Organization
Organization Name: Premier Back Rehabilitation Center, PC
Primary Specialty: Orthopaedic Surgery - Orthopaedic Trauma
Enumeration Date: Dec 19, 2006
Last Updated: Apr 30, 2008

Practice Location

Address: 1515 FORTINO BLVD STE 150
Address 2: STE 150
City: Pueblo
State: Colorado
ZIP Code: 81008-1976
Phone: (719) 544-1161

Authorized Official

Name: DR. JERE GENE SUTTON, D.O.
Title: CEO OWNER
Phone: (719) 544-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X	Primary

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