Organization
PUEBLO BONE AND JOINT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE GARCIA (BUSINESS OFFICE MANAGER)
(719) 253-7102
Entity
Organization
Contact information
Practice address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Mailing address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50330349
—
CO
Enumeration date
11/14/2006
Last updated
04/18/2017
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