STAR REHAB PROF PHYSICIANS, LLC

Physical Medicine & Rehabilitation - Pain Medicine

Active Organization
NPI: 1922000421

Practice Address

201 S MCCULLOCH BLVD
Pueblo West, CO 81007

Phone: (719) 561-5377

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 44011 (CO)
Physical Medicine & Rehabilitation 208100000X No 31344 (KS)
Physical Medicine & Rehabilitation - Pain Medicine 2081P2900X Yes 39112 (CO)

Frequently Asked Questions

NPI 1922000421 is the National Provider Identifier for STAR REHAB PROF PHYSICIANS, LLC, a Physical Medicine & Rehabilitation - Pain Medicine provider located in Pueblo West, CO. This NPI was enumerated on August 15, 2005.

Quick Facts

NPI
1922000421
Type
Organization
Enumerated
Aug 15, 2005
Last Updated
Aug 6, 2009

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