Organization
FAMILY MEDICINE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VAUGHT NP (CEO/PROVIDER)
(719) 566-5600
Entity
Organization
Contact information
Practice address
1225 N GRAND AVE, PUEBLO, CO 81003-2845
(719) 566-5600
Mailing address
1225 N GRAND AVE, PUEBLO, CO 81003-2845
(719) 544-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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