Individual
HOLLY MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
Mailing address
902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINE, PUEBLO, CO 81004
(719) 557-4730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0005833
CO
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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