MEDICARE: SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	43850	CO

General Provider Information

NPI Number	:	1104808690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES

Provider Business Mailing Address
First Line	:	1600 N GRAND AVE
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-2757
Country	:	US
Telephone Number	:	719-542-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 N GRAND AVE
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-2757
Country	:	US
Telephone Number	:	719-542-3100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN
Name	:	DR. DOUGLAS FLOYD DUFFEE
Credential	:	M.D.
Telephone Number	:	719-542-3100

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1366795080 — DR. PETER SYKORA D.O.
Practice Location Address:

1600 N GRAND AVE STE 520
PUEBLO, CO
81003-2757

Practice Phone: 719-562-2360
Practice Fax:

1376541094 — RAYMOND LILLY JR. M.D.
Practice Location Address:

1600 N GRAND AVE , STE 508
PUEBLO, CO
81003-2757

Practice Phone: 719-595-7040
Practice Fax: 719-595-7045

1306846381 — LUCAS R DERTING PA-C
Practice Location Address:

1600 NORTH GRAND AVENUE , SUITE 500
PUEBLO, CO
81003-2757

Practice Phone: 719-545-0663
Practice Fax: 719-595-7903

1023079035 — GREG ALAN BOWMAN MD
Practice Location Address:

1600 N GRAND AVE , SUITE 500
PUEBLO, CO
81003-2757

Practice Phone: 719-545-0663
Practice Fax: 719-595-7903

1457300840 — DR. WILLIAM Y LU M.D.
Practice Location Address:

1600 N. GRAND AVE. , STE 508
PUEBLO, CO
81003-2757

Practice Phone: 719-595-7040
Practice Fax: 719-595-7045

1053464669 — CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES
Practice Location Address:

1600 N GRAND AVE STE 500
PUEBLO, CO
81003-2757

Practice Phone: 719-545-0663
Practice Fax: 719-545-6994

Directions to “SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.