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

Magnolia Medical Aesthetics, PLLC

Organization Adult Medicine Physician · NPI 1851198444

Magnolia Medical Aesthetics, PLLC is an Adult Medicine Physician in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 N Grand Ave
Pueblo, CO 81003-3111
Phone: (719) 250-9412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1851198444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronda Orndoff — Owner/Provider · (719) 250-9412
Other names Pueblo Primary Care Clinic
NPI enumeratedFebruary 28, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address1478 43rd Ln, Pueblo, CO 81006-9307

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