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Contact Information

PUEBLO PATHOLOGY GROUP, PC
400 W 16TH ST
PUEBLO, CO81003-2745
 Phone: 719-542-0560
 Fax: 719-542-0561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PUEBLO PATHOLOGY GROUP PC · (Female)

NPI Number 1275690588
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2007
Last updated 08/29/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 04310082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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