Individual
DR. CHERYL BRUDOS WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4020 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 546-3600
(719) 546-0931
Mailing address
4020 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 546-3600
(719) 546-0931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306398
—
CO
Enumeration date
12/26/2006
Last updated
02/27/2012
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