Doctor Name: | DR. JOSEPH JOHN WERMERS |
NPI Number: | 1669783296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19512 |
Business Practice Address: | 1410 W 13th St Pueblo, CO - 810031961 |
Business Phone Number: | 7195835550 |
Business Fax Number: | 7195835525 |
Mailing Address: | 1410 W 13th St, PUEBLO |
State: | CO |
Postal Code: | 810031961 |
Phone Number: | 7195835550 |
Fax Number: | 7195835525 |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |