Individual
DAVID ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 103, PUEBLO, CO 81003-2644
(719) 542-2167
Mailing address
1619 N GREENWOOD ST, SUITE 103, PUEBLO, CO 81003-2644
(719) 542-2167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0054895
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87829860
—
CO
Enumeration date
07/31/2009
Last updated
03/03/2016
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