Individual
DR. SAMO JACOB DOVGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1173 S LOS CHARROS DR, PUEBLO WEST, CO 81007-6198
(719) 547-8796
Mailing address
P.O. BOX 7610, PUEBLO WEST, CO 81007-6198
(719) 547-8796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0015318
CO
Other
Enumeration date
04/03/2015
Last updated
05/17/2026
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