Organization
HIGH PLAINS TOTAL CARE LLC
Active
Other names
ROBERT VAUGHAN CIPPERLY MD
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHAN CIPPERLY (OWNER)
(719) 565-0200
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE, STE A 235, PUEBLO, CO 81004-3537
(719) 565-0200
(719) 565-0999
Mailing address
1925 E ORMAN AVE, STE A 235, PUEBLO, CO 81004-3537
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
38639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619823
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
44824785
—
CO
Enumeration date
06/24/2006
Last updated
08/22/2020
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