Organization
STANLEY C. RHEAUME, DPM, PC
Active
Other names
Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON PAUL RHEAUME DPM (PRESIDENT)
(719) 564-2391
Entity
Organization
Contact information
Practice address
1513 MOORE AVE, PUEBLO, CO 81005-2346
(719) 564-2391
(719) 564-2393
Mailing address
1513 MOORE AVE, PUEBLO, CO 81005-2346
(719) 564-2391
(719) 564-2393
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
417
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84655241
—
CO
Enumeration date
07/30/2006
Last updated
02/25/2008
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