Organization
PUEBLO WOMENS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E ROUKEMA DO (OWNER)
(719) 546-2229
Entity
Organization
Contact information
Practice address
4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 583-9069
Mailing address
4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 583-9069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CO28101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67057543
—
CO
Enumeration date
10/12/2006
Last updated
04/30/2008
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