Organization
FUTURE HOPE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A DRISCOLL MD/PHD (OWNER)
(719) 299-3012
Entity
Organization
Contact information
Practice address
3116 N ELIZABETH ST, SUITE 202, PUEBLO, CO 81008-1145
(719) 299-3012
(719) 299-3013
Mailing address
3116 N ELIZABETH ST, SUITE 202, PUEBLO, CO 81008-1145
(719) 299-3012
(719) 299-3013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34024
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08658285
—
CO
Enumeration date
12/04/2013
Last updated
09/25/2014
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