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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