Organization
LIRIO S. POLINTAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIRIO S POLINTAN M.D. (PRESIDENT)
(719) 545-0552
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE STE 345, PUEBLO, CO 81003-2762
(171) 954-5055
(719) 545-2945
Mailing address
1600 N GRAND AVE STE 345, PUEBLO, CO 81003-2762
(171) 954-5055
(719) 545-2945
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24270
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242700
—
CO
01
—
COA103943
PTAN
—
Enumeration date
02/01/2011
Last updated
02/28/2011
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