Organization
MAGNOLIA MEDICAL AESTHETICS, PLLC
Active
Other names
Pueblo Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA ORNDOFF DNP (OWNER/PROVIDER)
(719) 250-9412
Entity
Organization
Contact information
Practice address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 250-9412
Mailing address
1478 43RD LN, PUEBLO, CO 81006-9307
(719) 250-9412
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/28/2025
Last updated
06/12/2025
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