PUEBLO CARDIOLOGY ASSOC PC NPI 1134164593

NPI Information

PUEBLO CARDIOLOGY ASSOC PC is a specialist in Pueblo, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PUEBLO CARDIOLOGY ASSOC PC NPI is 1134164593. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3670 PARKER BLVD STE 101
PUEBLO, CO
ZIP 81008-207
Phone: (719) 564-1544
Fax: (719) 924-1593

The provider's authorized official is Christian Thomas Stjernholm .
The authorized official title is President and has the following contact phone number (719) 564-1544.

The CLIA number assigned to this NPI record is 06D2090854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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