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Specialty details in registry · Trinidad, CO

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At a glance

910 E Main St, Trinidad, CO 81082-2725

NPPES record updated Jun 1, 2022. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

910 E Main St
Trinidad, CO 81082-2725
Professional details: NPI, taxonomy & registry record
NPI1942813241
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Aug 26, 2020
Record updated
Jun 1, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

Specialty details in registry

261QM0850X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

910 E Main St
Trinidad, CO 81082-2725
Phone
(719) 631-3370
Fax
(719) 766-9413
Mailing address
41 MONTEBELLO RD STE 204

PUEBLO, CO 810011379
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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