Individual
ALONSO PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3676 PARKER BLVD STE 350, PUEBLO, CO 81008-2213
(719) 296-6000
(719) 545-1146
Mailing address
7951 E MAPLEWOOD AVE STE 300, GREENWOOD VILLAGE, CO 80111-4726
(303) 930-7800
(303) 930-5503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-0252
NM
207RH0003X
Hematology & Oncology Physician
Primary
48469
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92703054
—
CO
Enumeration date
02/06/2007
Last updated
08/17/2010
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