# FAMILY MEDICINE SPECIALISTS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528912136
- **Authorized official:** DANIEL VAUGHT NP (CEO/PROVIDER)
- **Authorized official phone:** (719) 566-5600

## Contact information

- **Practice address:** 1225 N GRAND AVE, PUEBLO, CO 81003-2845
- **Practice address phone:** (719) 566-5600
- **Mailing address:** 1225 N GRAND AVE, PUEBLO, CO 81003-2845
- **Mailing address phone:** (719) 544-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2026
- **Last updated:** 02/23/2026
