Individual
MR. JUAN CARLOS HERRAEZ SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4000
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2876
CO
Other
Enumeration date
09/24/2009
Last updated
03/07/2023
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