Individual
DR. CHARLES MARCIAL COUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
732 S LEGEND LN, PUEBLO, CO 81007-1793
(719) 547-7461
(719) 547-7461
Mailing address
732 S LEGEND LN, PUEBLO, CO 81007-1793
(719) 547-7461
(719) 547-7461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28194
CO
Other
Enumeration date
12/15/2005
Last updated
09/27/2007
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