Provider First Line Business Practice Location Address:
1008 MINNEQUA AVENUE, SOUTHERN COLORADO FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
MEDICAL ARTS BUILDING, SUITE 115
Provider Business Practice Location Address City Name:
PUEBLE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-557-5855
Provider Business Practice Location Address Fax Number:
719-557-5097
Provider Enumeration Date:
04/30/2026