Organization
SPECIALIZED INPATIENT MEDICAL SERVICES, LLC
Active
Parent organization
INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD
Authorized official
DR. STEVEN JAMES SIMERVILLE MD (OWNER)
(719) 581-7123
Entity
Organization
Contact information
Practice address
855 HUNTER DR, PUEBLO, CO 81001-1867
(719) 581-7123
(719) 564-1041
Mailing address
5 POMONA CT, PUEBLO, CO 81005-2986
(719) 581-7123
(719) 564-1041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44566
CO
208000000X
Pediatrics Physician
44566
CO
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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