# PUEBLO WOMENS CENTER, LLC

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

## Provider details

- **NPI number:** 1962591206
- **Authorized official:** DR. JAMES E ROUKEMA DO (OWNER)
- **Authorized official phone:** (719) 546-2229

## Contact information

- **Practice address:** 4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
- **Practice address phone:** (719) 583-9069
- **Mailing address:** 4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
- **Mailing address phone:** (719) 583-9069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | CO28101 | CO | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 04/30/2008