Individual
PAULA M DIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 N GRAND AVE, SUITE 150, PUEBLO, CO 81003-2749
(719) 595-7680
(719) 595-7687
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
33326
AZ
207RG0100X
Gastroenterology Physician
Primary
47552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07536011
—
CO
Enumeration date
12/07/2005
Last updated
02/17/2016
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