Organization
GENERATIONS PRIMARY CARE, LLC
Active
Other names
Generations Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVIDSON MD (CEO)
(719) 281-1605
Entity
Organization
Contact information
Practice address
44 E SPAULDING AVE, BUILDING 2, SUITE 3, PUEBLO WEST, CO 81007
(719) 281-1605
(719) 988-9677
Mailing address
44 E SPAULDING AVE, BOX 6, PUEBLO WEST, CO 81007
(719) 281-1605
(719) 988-9677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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