Organization
PUEBLO ENDOSCOPY SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATUL VAHIL MD (OWNER/PRESIDENT)
(719) 543-3500
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, SUITE 420, PUEBLO, CO 81003-2700
(719) 546-2500
(719) 546-2335
Mailing address
1600 N GRAND AVE, SUITE 420, PUEBLO, CO 81003-2700
(719) 546-2500
(719) 546-2335
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
0754
CO
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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