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

Pueblo Ear Nose & Throat Specialist

Organization Otolaryngology Physician · NPI 1306175484

Pueblo Ear Nose & Throat Specialist is an Otolaryngology Physician in Pueblo, Colorado. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1218 Pueblo Blvd Way
Pueblo, CO 81005-1507
Phone: (719) 566-1277
Fax: (719) 566-1257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1306175484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlene Hickson — Owner · (719) 566-1277
NPI enumeratedDecember 18, 2009
Last updated in NPPESApril 16, 2013
Mailing address1218 Pueblo Blvd Way, Pueblo, CO 81005-1507

Other providers in Pueblo