Organization
JODELL C SAMS CRNFA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODELL C WARNER CRNFA (CRNFA)
(719) 240-2008
Entity
Organization
Contact information
Practice address
2911 COUNTRY CLUB DR, PUEBLO, CO 81008-1202
(719) 240-2008
Mailing address
2911 COUNTRY CLUB DR, PUEBLO, CO 81008-1202
(719) 240-2008
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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