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Individual

MARITZA PROANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 N GRAND AVE, SUITE 440, PUEBLO, CO 81003-2760
(719) 543-3500
(719) 543-3504
Mailing address
1600 N GRAND AVE, SUITE 440, PUEBLO, CO 81003-2760
(719) 543-3500
(719) 543-3504

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10153
ND
207RG0100X
Gastroenterology Physician
MD2025-0654
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13702
ND
Enumeration date
07/17/2006
Last updated
07/15/2025
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