# PUEBLO BONE AND JOINT CLINIC LLC

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

## Provider details

- **NPI number:** 1568534642
- **Authorized official:** ANNETTE GARCIA (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (719) 253-7102

## Contact information

- **Practice address:** 1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
- **Practice address phone:** (719) 253-7102
- **Practice address fax:** (719) 253-7114
- **Mailing address:** 1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
- **Mailing address phone:** (719) 253-7102
- **Mailing address fax:** (719) 253-7114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 04/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 50330349 | — | CO |