Individual
DR. SUSAN R. MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 CLUB MANOR DR, PUEBLO, CO 81008-1679
(719) 584-4767
(719) 595-7906
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4767
(719) 595-7906
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28461
CO
Other
Enumeration date
06/28/2006
Last updated
08/09/2012
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