Individual
MRS. LOUISE MCDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 CARLILE PL, PUEBLO, CO 81004-1213
(719) 404-3730
Mailing address
8 CARLILE PLACE, PUEBLO, CO 81004-1213
(719) 404-3730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2008-0101
NM
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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