Organization
DIGESTIVE DISEASES SPECIALISTS OF COLORADO,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATUL VAHIL MD (PRESIDENT/OWNER)
(719) 543-3500
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, SUITE 440, PUEBLO, CO 81003-2700
(719) 543-3500
(719) 543-3504
Mailing address
1600 N GRAND AVE, SUITE 440, PUEBLO, CO 81003-2700
(719) 543-3500
(719) 543-3504
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85954764
—
CO
Enumeration date
07/14/2006
Last updated
08/22/2020
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