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Detorrion Temple

NPI 1821906835 · on the registry since 2026

Practice

Address
4025 Club Manor Dr
Pueblo, CO 81008
Phone
(719) 696-7799
Organisation at this address
Buck Jack, Llc
Buck Jack, Llc
Catholic Health Initiatives Colorado
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2026-08-31

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