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Individual

SARAH B FELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
916 INDIANA AVE, SUITE 120, PUEBLO, CO 81004-3572
(719) 562-1122
(719) 562-0244
Mailing address
916 INDIANA AVE, SUITE 120, PUEBLO, CO 81004-3572
(719) 562-1122
(719) 562-0244

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39953
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14688778
NEW MEXICO MEDICAID
05
45850224
CO
01
840706945
ROCKY MOUNTAIN HEATLH PLA
CO
01
FE668556
ANTHEM BCBS
CO
01
P00231963
TRAVELERS MEDICARE
Enumeration date
10/12/2005
Last updated
05/05/2008
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