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Organization

ADVANCED PRACTICE HEADACHE AND PRIMARY CARE CLINIC

Active
Other names
Zsuzsa Glasscock
Organization subpart
No

Provider details

NPI number
Authorized official
ZSUZSA GLASSCOCK FNP (BUSINESS OWNER)
(719) 778-1414
Entity
Organization

Contact information

Practice address
1128 EAGLERIDGE BLVD, PUEBLO, CO 81008
(719) 778-1414
(719) 674-1000
Mailing address
1128 EAGLERIDGE BLVD, PUEBLO, CO 81008-2103
(719) 778-1414
(719) 674-1000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/13/2018
Last updated
10/25/2019
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