# FAMILY MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1982893640
- **Authorized official:** DR. CHRISTOPHER JOHN SMITH M.D. (OWNER)
- **Authorized official phone:** (719) 543-4016

## Contact information

- **Practice address:** 517 COLORADO AVE, PUEBLO, CO 81004-2075
- **Practice address phone:** (719) 543-4016
- **Practice address fax:** (719) 542-6884
- **Mailing address:** 517 COLORADO AVE, PUEBLO, CO 81004-2075
- **Mailing address phone:** (719) 543-4016
- **Mailing address fax:** (719) 542-6884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21599 | CO | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 03/14/2008