Organization
SOUTHERN COLORADO CLINIC
Active
Parent organization
SOUTHERN COLORADO CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN COLORADO CLINIC
Authorized official
DR. MARK STUART POTZLER MD (PRESIDENT)
(719) 553-1802
Entity
Organization
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
(719) 553-2216
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-2200
(719) 553-2216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
01/19/2026
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