Organization
PREMIER BACK REHABILITATION CENTER, PC
Active
Organization
PREMIER BACK REHABILITATION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERE GENE SUTTON D.O. (CEO OWNER)
(719) 544-1161
Entity
Organization
Contact information
Practice address
1515 FORTINO BLVD STE 150, STE 150, PUEBLO, CO 81008-1976
(719) 544-1161
(719) 544-1128
Mailing address
1515 FORTINO BLVD STE 150, STE 150, PUEBLO, CO 81008-1976
(719) 544-1161
(719) 544-1128
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
04/30/2008
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