Organization
PUEBLO BONE DENSITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E ROUKEMA DO (PRESIDENT)
(719) 546-2229
Entity
Organization
Contact information
Practice address
4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 546-2229
Mailing address
4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 546-2229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281013
—
CO
Enumeration date
12/11/2006
Last updated
08/22/2020
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