Individual
PANTELIS HADJIZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 COURT ST, PUEBLO, CO 81003-2715
(719) 562-2300
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 595-7417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
DR.0054955
CO
208600000X
Surgery Physician
R70524
AZ
2086S0129X
Vascular Surgery Physician
48372
AZ
2086S0129X
Vascular Surgery Physician
Primary
CDRH.0054955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76507254
—
CO
Enumeration date
06/26/2008
Last updated
07/07/2025
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