Individual
MS. SUSAN FAITH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 N GRAND AVE, SUITE 400, PUEBLO, CO 81003-2760
(719) 543-4000
(719) 543-1041
Mailing address
1600 NORTH GRAND AVENUE, SUITE 400, PUEBLO, CO 81003-2760
(719) 543-4000
(719) 543-1041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2168
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93826575
—
CO
Enumeration date
10/04/2005
Last updated
01/15/2014
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