Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Children's Clinic of Pueblo, PC

Organization Pediatrics Physician · NPI 1962553172

Children's Clinic of Pueblo, PC provides Pediatrics Physician services in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 N Grand Ave Ste 240
Pueblo, CO 81003-2700 Not confirmed with CMS for 14 years — call before visiting
Phone: (719) 295-2305
Fax: (719) 295-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 36942 (CO)

Record details

NPI number1962553172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loraine Carroll — Physician · (719) 295-2305
NPI enumeratedJanuary 15, 2007
Last updated in NPPESDecember 9, 2011
Mailing address1600 N Grand Ave, Suite 240, Pueblo, CO 81003-2700

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