Organization
PUEBLO WEST PRIMARY CARE LLC
Active
Other names
Pueblo West Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI SHAWCROFT (OFFICE MANAGER)
(719) 251-9465
Entity
Organization
Contact information
Practice address
141 S PURCELL BLVD STE 140, PUEBLO WEST, CO 81007-5123
(719) 281-9587
(719) 960-2054
Mailing address
141 S PURCELL BLVD STE 140, PUEBLO WEST, CO 81007-5123
(719) 281-9587
(719) 960-2054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
10/29/2019
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