SearchColorado207Q00000X

Samuel Longfellow, D.O

NPI 1851771943 · on the registry since 2015 · sole proprietor

Practice

Address
902 Lakeview Ave
Pueblo, CO 81004
Phone
(719) 557-5872
Organisation at this address
Southern Colorado Family Medicine
Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
208M00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-25

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