| Dr Jed Jitsugo Tatsuyama, MD | |
|
1619 N Greenwood St, Suite 200, Pueblo, CO 81003-2644 | |
| (719) 543-1130 | |
| (719) 561-2764 |
| Full Name | Dr Jed Jitsugo Tatsuyama |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1619 N Greenwood St, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114960192 | NPI | - | NPPES |
| 62287338 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41404 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jed Jitsugo Tatsuyama, MD 1619 N Greenwood Street, Suite 200, Pueblo, CO 81003 Ph: (719) 543-1130 | Dr Jed Jitsugo Tatsuyama, MD 1619 N Greenwood St, Suite 200, Pueblo, CO 81003-2644 Ph: (719) 543-1130 |
Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 | |
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493 | |
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780 | |
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183 | |
Mrs. Louise Mcdade, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Carlile Pl, Pueblo, CO 81004 Phone: 719-404-3730 |