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Organization
CORWIN CLINIC FAMILY MEDICINE PLLC
Active
Organization
CORWIN CLINIC FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ALEJANDRA RICHMOND MD (SOLE MEMBER)
(719) 564-0210
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE STE A109, PUEBLO, CO 81004-3555
(719) 564-0210
(719) 564-9483
Mailing address
1925 E ORMAN AVE STE A109, PUEBLO, CO 81004-3555
(719) 564-0210
(719) 564-9483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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