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Rural Physicians Group - Pannu PLLC

Hospitalist in Canon City, CO. Organization (NPI-2).

NPI number1336720580
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1336720580
Entity type
Organization (NPI-2)
Legal business name
Rural Physicians Group - Pannu PLLC
Organization subpart
No
Enumeration date
Apr 19, 2021
Certification date
Nov 21, 2023
Last updated
Nov 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist––Yes
207Q00000X Family Medicine––
207R00000X Internal Medicine––

Practice location

1338 Phay Ave
Canon City, CO 81212-2311

Phone 303-390-1924

Mailing address

5575 Dtc Pkwy
Greenwood Village, CO 80111-3008

Authorized official

Sukhbir S Pannu
Ceo/Owner
7029333266

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