GAIL D BURCHETT, DO
Osteopathic Medicine at Altadena Dr, Pueblo, CO

License number
Colorado C21178
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
35 Altadena Dr, Pueblo, CO 81005
Phone
(719) 564-4618
(480) 393-0935 (Fax)
National Provider ID: 1487604278
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GAIL D BURCHETT at bizstanding.com

GAIL D. BURCHETT, D.O., PROF. LLC, Dissolved May 5, 2014

35 Altadena Dr, Pueblo, CO 81005

Status:
Inactive
Registration:
Sep 15, 1999
State ID:
19991172485
Business type:
Limited Liability Company
Expiration:
Perpetual
Agent:
Gail D Burchett,35 Altadena Dr, Pueblo, CO 81005 (Physical)

Osteopathic Medicine licenses in Colorado