Organization
WOMENS HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY K BERRYMAN MD (OWNER)
(719) 543-4000
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE STE 400, PUEBLO, CO 81003-2760
(719) 543-4000
(719) 543-1041
Mailing address
1600 N GRAND AVE STE 400, PUEBLO, CO 81003-2760
(719) 543-4000
(719) 543-1041
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
28180
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77306732
—
CO
Enumeration date
05/09/2007
Last updated
01/19/2011
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