Infectious Disease Specialist of Southern Colorado, Pllc

NPI #1922351279 in Pueblo, Colorado

Provider Information

NPI Number
1922351279
Entity Type
Organization
Organization Name
Infectious Disease Specialist of Southern Colorado, Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Oct 24, 2012
Last Updated
Jan 29, 2023

Practice Location

Address
2001 LAKE AVE
Address 2
SUITE 2
City
Pueblo
ZIP Code
81004-3538
Phone
(719) 582-8425

Authorized Official

Name
DR. VICTOR NWANGUMA, M.D
Title
CEO
Phone
(719) 582-8425

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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