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Organization
RURAL PHYSICIANS GROUP - PANNU PLLC
Active
Organization
RURAL PHYSICIANS GROUP - PANNU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWNA COBB (PROVIDER ENROLLMENT MANAGER)
(303) 390-1931
Entity
Organization
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(303) 390-1940
(866) 368-6349
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(303) 390-1940
(866) 368-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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