NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285613554 |   |   |   | SOUTHERN COLORADO CLINIC PC | PO BOX 9000 | PUEBLO | CO | 810089000 |
1659435535 |   |   |   | SOUTHERN COLORADO CLINIC | PO BOX 9000 | PUEBLO | CO | 810089000 |
1093777658 | DERUITER | SCOTT | ALAN |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1376504654 | ELIJAH | ROCHELLE | YVONNE |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1023077484 | ELLSWORTH | RITA | ANN |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1093833733 | ESLINGER | RYAN | SCOTT |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1184685737 | HANSON | CHARLES | ALVIN |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1841842812 | JAMES | REBYL |   |   | 719 SAN MATEO BLVD NE | ALBUQUERQUE | NM | 871081434 |
1033625314 | LIVINGSTON | JENNIFER |   |   | 4140 ANDREW DRIVE | COLORADO CITY | CO | 810192012 |
1174585400 | MAISEL | ROBERT | RAY |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1972024453 | PERIDES | ANGELA | MARIE |   | 49 WILD ROSE DR | CANON CITY | CO | 812129468 |
1598728743 | RUZICH | JOSEPH | DAVID |   | PO BOX 9000 | PUEBLO | CO | 810089000 |
1255370318 | SCHWARTZ | TERRY | LEE |   | PO BOX 9000 | PUEBLO | CO | 81008 |
1306021084 | SIMS | EMILY | JEANETTE |   | 3676 PARKER BLVD | PUEBLO | CO | 810082212 |
1023658713 | SPURLOCK | HAVILAH | R. |   | 6292 GALBRETH RD | PUEBLO | CO | 810059628 |
1861455099 | TIMMS | PATRICK | KEVIN |   | PO BOX 9000 | PUEBLO | CO | 810089000 |