INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC

NPI # 

Practice Address:

2001 Lake Ave , Suite 2

Pueblo, CO, 81004-3538

Practice Phone:

719-582-8425

Practice Fax:

888-719-1380

License Number:

DR51262

License State:

CO

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X