Individual
DONN ANDREW ROUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 MINNEQUA, PUEBLO, CO 81004
(719) 560-4000
Mailing address
PO BOX 744127, DALLAS, TX 75374
(719) 560-5030
(719) 506-5059
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01208230
—
CO
Enumeration date
04/13/2006
Last updated
12/17/2007
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