Organization
UROLOGY OF PUEBLO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PADILLA FELIZ MD (PRESIDENT)
(719) 569-7400
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE STE A340, PUEBLO, CO 81004-3571
(719) 569-7400
(719) 569-7338
Mailing address
1925 E ORMAN AVE STE A340, PUEBLO, CO 81004-3571
(719) 569-7400
(719) 569-7338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0037048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82981035
—
CO
Enumeration date
04/25/2014
Last updated
06/08/2020
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