Jed J Tatsuyama, Md, PC

NPI #1992974554 in Pueblo, Colorado

Provider Information

NPI Number: 1992974554
Entity Type: Organization
Organization Name: Jed J Tatsuyama, Md, PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 27, 2008
Last Updated: Jun 22, 2008

Practice Location

Address: 1619 N GREENWOOD ST
Address 2: SUITE 200
City: Pueblo
State: Colorado
ZIP Code: 81003-2644
Phone: (719) 543-1130

Authorized Official

Name: JED J TATSUYAMA, MD
Title: PRESIDENT
Phone: (719) 543-1130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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