Organization
INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J SIMERVILLE MD (SOLE MBR)
(719) 296-5854
Entity
Organization
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 560-4000
Mailing address
PO BOX 567, PUEBLO, CO 81002-0567
(719) 296-5854
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
44566
CO
282N00000X
General Acute Care Hospital
Primary
44566
CO
282NC2000X
Children's Hospital
44566
CO
Other
Enumeration date
08/05/2009
Last updated
12/14/2009
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