Individual
ERIC MIGOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(720) 275-5158
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(720) 275-5158
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR0062698
CO
390200000X
Student in an Organized Health Care Education/Training Program
5101021765
MI
Other
Enumeration date
05/22/2015
Last updated
08/14/2019
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