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Contact Information

PUEBLO INFECTIOUS DISEASES, PLLC
ST. MARY CORWIN MEDICAL CENTER
1008 MINNEQUA AVE
PUEBLO, CO81004
 Phone: 719-557-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PUEBLO INFECTIOUS DISEASES, PLLC

NPI # 1275866907
LBN Legal business name PUEBLO INFECTIOUS DISEASES, PLLC
Authorized official JOHN LIEBERMAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2009
Last updated 12/22/2009 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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