Family Medicine of Pueblo Pllc

NPI #1912995929 in Pueblo, Colorado

Provider Information

NPI Number: 1912995929
Entity Type: Organization
Organization Name: Family Medicine of Pueblo Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 12, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 900 INDIANA AVE
Address 2: SUITE C
City: Pueblo
State: Colorado
ZIP Code: 81004-3767
Phone: (719) 561-2289

Authorized Official

Name: DR. PAMELA JEAN ASCHENBRENER, M.D.
Title: OWNER
Phone: (719) 561-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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