Organization
PUEBLO FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W BERENS MD (PRESIDENT)
(719) 542-0072
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE STE 310, PUEBLO, CO 81003-2729
(719) 542-0072
(719) 542-9888
Mailing address
1600 N GRAND AVE STE 310, PUEBLO, CO 81003-2729
(719) 542-0072
(719) 542-9888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CO
Other
Enumeration date
05/02/2007
Last updated
01/22/2010
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