Organization
EUGENE D. CHEN, MD. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DUNYO CHEN MD (PRESIDENT)
(808) 281-7776
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE, PUEBLO, CO 81004-3537
(808) 281-7776
(580) 379-6659
Mailing address
PO BOX 2101, PUEBLO, CO 81004-0101
(808) 281-7776
(580) 379-6659
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46298
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-20896
UNITED HEALTH CARE
CO
01
—
1943982
COVENTRY
CO
01
—
7143539
AETNA
CO
05
—
74171569
—
CO
01
—
RR1445
RAILROAD MEDICARE
CO
Enumeration date
06/25/2008
Last updated
12/12/2012
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