Individual
DR. GORDON PAUL RHEAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1513 MOORE AVE, PUEBLO, CO 81005-2346
(719) 564-2391
(719) 564-2393
Mailing address
1513 MOORE AVE, PUEBLO, CO 81005-2346
(719) 564-2391
(719) 564-2393
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0417
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004175
—
CO
05
—
84655241
—
CO
Enumeration date
06/16/2006
Last updated
10/02/2007
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