Search › Colorado › 101YA0400X
Connie Palm, CAC III
NPI 1790223634 · on the registry since 2017
Practice
- Address
- 1615 Bonforte Blvd
Pueblo, CO 81001 - Phone
- (719) 404-1992
- Fax
- (719) 404-1996
- Organisation at this address
- C. Glen Ferguson D.O. P.C.
Crossroads Turning Points IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-10
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