Colorado Department of Corrections

NPI #1972493930 in Pueblo, Colorado

Provider Information

NPI Number
1972493930
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
Jul 9, 2025
Last Updated
Jul 14, 2025

Practice Location

Address
1300 WEST 13TH ST
Address 2
YOS MEDICAL
City
Pueblo
ZIP Code
81003
Phone
(719) 583-5579

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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