Organization
SOUTHERN COLORADO PSYCHIATRIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY WRIGHT (AUTHORIZED AGENT)
(719) 564-1800
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE STE G12, PUEBLO, CO 81004-3563
(719) 564-1800
(719) 564-1865
Mailing address
1925 E ORMAN AVE STE G12, PUEBLO, CO 81004-3563
(719) 564-1800
(719) 564-1865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/13/2009
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