Individual
PABLO-MOISES GARCIA-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1008 MINNEQUA AVE, ANESTHESIA DEPARTMENT, PUEBLO, CO 81004-3733
(719) 560-5430
(719) 560-5448
Mailing address
1705 AQUILA DR, PUEBLO, CO 81008-1798
(719) 542-9093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86484711
—
CO
Enumeration date
06/20/2005
Last updated
07/08/2007
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