Individual
DR. ROCHELLE YVONNE ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
(719) 553-2216
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-2200
(719) 553-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37357
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64928730
—
CO
Enumeration date
03/28/2006
Last updated
12/09/2024
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