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Jose Mariscal
NPI 1376142703 · on the registry since 2020
Practice
- Address
- 1817 Yakima Ln
Pueblo, CO 81001 - Phone
- (719) 850-0550
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado