Individual
DR. ARMINE AVANESYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 W 14TH ST, PUEBLO, CO 81003-2710
(719) 595-7585
(719) 595-7589
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
56655
CO
207R00000X
Internal Medicine Physician
4301100114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11957832
—
CO
Enumeration date
03/30/2009
Last updated
09/02/2016
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