Organization
CORWIN CLINIC FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ALEJANDRA RICHMOND MD (SOLE MEMBER)
(719) 564-0210
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE STE A109, PUEBLO, CO 81004-3555
(719) 564-0210
(719) 564-9483
Mailing address
1925 E ORMAN AVE STE A109, PUEBLO, CO 81004-3555
(719) 564-0210
(719) 564-9483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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