SearchColorado103TC1900X

Louis Pagano, PH.D

NPI 1114233004 · on the registry since 2010

Practice

Address
559 Vincent St
Attn: 21 Mds/Sgow-Mental Health
Peterson Afb, CO 80914
Phone
(719) 526-8873
Organisation at this address
21st Medical Group
21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Additional practice sites

  • 655 7th St, Robins Afb, GA

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Also registered as
390200000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

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