Organization
INTERNAL MEDICINE ASSOCIATES OF PUEBLO P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE ELAINE KULIK M.D (PRESIDENT)
(719) 545-5297
Entity
Organization
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 106, PUEBLO, CO 81003-2644
(719) 545-5297
(719) 583-9682
Mailing address
1619 N GREENWOOD ST, SUITE 106, PUEBLO, CO 81003-2644
(719) 545-5297
(719) 583-9682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126132
—
CO
Enumeration date
08/08/2006
Last updated
05/01/2008
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