Organization
FAMILY MEDICINE OF PUEBLO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA JEAN ASCHENBRENER M.D. (OWNER)
(719) 561-2289
Entity
Organization
Contact information
Practice address
900 INDIANA AVE, SUITE C, PUEBLO, CO 81004-3767
(719) 561-2289
(719) 565-1370
Mailing address
900 INDIANA AVE, SUITE C, PUEBLO, CO 81004-3767
(719) 561-2289
(719) 565-1370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43206514
—
CO
Enumeration date
10/12/2005
Last updated
07/21/2022
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