Individual
TIMOTHY PAPSIDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8718
(719) 543-1741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
307815
NY
207Q00000X
Family Medicine Physician
5384
CO
208M00000X
Hospitalist Physician
Primary
207815
NY
Other
Enumeration date
05/28/2013
Last updated
09/28/2022
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