Organization
PUEBLO PULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S. SHAPIRO M.D. (MANAGING PARTNER)
(719) 564-1542
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, SUITE 140, PUEBLO, CO 81003-2700
(719) 564-1542
(719) 566-0916
Mailing address
1600 N GRAND AVE, SUITE 140, PUEBLO, CO 81003-2700
(719) 564-1542
(719) 566-0916
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006706
—
CO
Enumeration date
06/21/2007
Last updated
01/29/2013
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