Organization
TIMOTHY J CAWLFIELD, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH CAWLFIELD MD (OWNER/PROVIDER)
(719) 543-9158
Entity
Organization
Contact information
Practice address
41 MONTEBELLO RD STE 210, PUEBLO, CO 81001-1379
(719) 543-9158
(719) 544-1958
Mailing address
41 MONTEBELLO RD STE 210, PUEBLO, CO 81001-1366
(719) 543-9158
(719) 544-1958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35076852
—
CO
01
—
DR4619
RAIL ROAD MEDICARE
CO
Enumeration date
09/23/2010
Last updated
08/18/2011
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