| John G Highfill MD Prof LLC | |
|
916 Indiana Ave Suite 110 Pueblo CO 81004-3572 | |
| (719) 566-9120 | |
| (719) 566-9121 |
| Full Name | John G Highfill MD Prof LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 916 Indiana Ave, Pueblo, Colorado |
| Authorized Official Name and Position | John G Highfill (PROVIDER OWNER) |
| Authorized Official Contact | 7195669120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Highfill MD Prof LLC 916 Indiana Ave Suite 110 Pueblo CO 81004-3572 Ph: (719) 566-9120 | John G Highfill MD Prof LLC 916 Indiana Ave Suite 110 Pueblo CO 81004-3572 Ph: (719) 566-9120 |
| NPI Number | 1669686143 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 2365439098 |
|---|---|
| Medicare Enrollment ID | O20040426001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669686143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | John G Highfill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346548 PECOS PAC ID: 6406843135 Enrollment ID: I20040427000243 |
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