Individual
PRISCILLA NOBECOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N GRAND AVE STE 430, PUEBLO, CO 81003-2760
(719) 545-8240
Mailing address
1600 N GRAND AVE STE 430, PUEBLO, CO 81003-2760
(719) 545-8240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP1-0053430
TX
208600000X
Surgery Physician
Primary
DR.0063670
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
06/15/2020
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