SOUTHERN COLORADO CLINIC PC is a clinic center in Pueblo, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHERN COLORADO CLINIC PC NPI is 1285613554. The provider is registered as an organization entity type.
The provider's business location address is:
3676 PARKER BLVD
PUEBLO, CO
ZIP 81008-212
Phone: (719) 553-2200
Fax: (719) 553-2213
The provider's authorized official is Mark Stewart Potzler .
The authorized official title is President and has the following contact phone number (719) 553-2200.
The CLIA number assigned to this NPI record is 06D2194271 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/18/2007.