Individual
PATRICK PAMINTUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 W 14TH ST, PUEBLO, CO 81003-2705
(719) 595-7585
(719) 595-7589
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL.0007388
CO
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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