CANON PROFESSIONAL WELLNESS CLINIC LLC is a primary care nurse practitioner in Canon City, CO. CANON PROFESSIONAL WELLNESS CLINIC LLC NPI is 1780384560. The provider is registered as an organization entity type.
The provider's business location address is:
730 MACON AVE
CANON CITY, CO
ZIP 81212-314
Phone: (719) 275-1618
The provider's authorized official is Leslie Nelson .
The authorized official title is Owner and has the following contact phone number (719) 285-5019.
The enumeration date for this NPI number is 3/9/2023 and was last updated on 2/19/2024.