Organization
SOUTHERN COLORADO CLINIC PC
Active
Parent organization
SOUTHERN COLORADO CLINIC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN COLORADO CLINIC PC
Authorized official
JENNIFER ARELLANO (COO)
(719) 553-1801
Entity
Organization
Contact information
Practice address
3937 IVYWOOD LN, PUEBLO, CO 81005-2551
(719) 553-0111
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-2200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
12/05/2022
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