| Generations Primary Care, Llc | |
|
44 E Spaulding Ave Building 2, Suite 3 Pueblo West CO 81007 | |
| (719) 281-1605 | |
| (719) 988-9677 |
| Full Name | Generations Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 44 E Spaulding Ave, Pueblo West, Colorado |
| Authorized Official Name and Position | Scott Davidson (CEO) |
| Authorized Official Contact | 7192811605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Primary Care, Llc 44 E Spaulding Ave Box 6 Pueblo West CO 81007 Ph: (719) 281-1605 | Generations Primary Care, Llc 44 E Spaulding Ave Building 2, Suite 3 Pueblo West CO 81007 Ph: (719) 281-1605 |
| NPI Number | 1194590372 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194590372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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