Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corwin Clinic Surgical Professional Corp

Organization Specialist · NPI 1356492219

Corwin Clinic Surgical Professional Corp is a Specialist in Pueblo, Colorado. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 E Orman Ave Ste A109
Pueblo, CO 81004-3555
Phone: (719) 564-0210
Fax: (719) 564-9483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1356492219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Lane — President · (719) 564-0210
Other names Corwin Clinic Surgical, Pc
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMarch 23, 2011
Mailing address1925 E Orman Ave Ste A109, Pueblo, CO 81004-3555

Other providers in Pueblo