Organization
PUEBLO ANKLE AND FOOT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE HELVEY (BILLING & CREDENTIALING LEAD)
(719) 544-7170
Entity
Organization
Contact information
Practice address
1619 N GREENWOOD ST, #300, PUEBLO, CO 81003-2657
(719) 543-2476
(719) 543-2479
Mailing address
1619 N GREENWOOD ST, #300, PUEBLO, CO 81003-2657
(719) 543-2476
(719) 543-2479
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12630861
—
CO
01
—
DG0622
RAILROAD MEDICARE
CO
01
—
PUPU665
BC
CO
Enumeration date
05/09/2007
Last updated
04/03/2023
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