Organization
SOUTHERN COLORADO CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MYERS PRACTICE MANAGER (PRACTICE MANAGER)
(719) 553-2201
Entity
Organization
Contact information
Practice address
314 W 16TH ST, PUEBLO, CO 81003-2728
(719) 553-2200
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-2200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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