Individual
ANTONIO PADILLA FELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 E ORMAN AVE STE A340, PUEBLO, CO 81004-3571
(719) 569-7400
(719) 569-7338
Mailing address
3510 SAN JOSE CT, PUEBLO, CO 81005-3916
(719) 545-9713
(719) 545-2054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37048
CO
208800000X
Urology Physician
Primary
37048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01370485
—
CO
Enumeration date
06/23/2005
Last updated
06/05/2020
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