Organization
PUEBLO CARDIOLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN THOMAS STJERNHOLM M.D. (PRESIDENT)
(719) 564-1544
Entity
Organization
Contact information
Practice address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2207
(719) 564-1544
(719) 924-1593
Mailing address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2207
(719) 564-1544
(719) 924-1593
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006532
—
CO
Enumeration date
06/19/2006
Last updated
07/22/2010
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