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

Urology of Southern Colorado PLLC

Organization Medical Specialty Clinic/Center · NPI 1104001379

Urology of Southern Colorado PLLC is a Medical Specialty Clinic/Center in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
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

3676 Parker Blvd Ste 310
Pueblo, CO 81008-2212
Phone: (719) 545-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 40134 (CO)

Record details

NPI number1104001379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Weaver-Osterholtz — Owner · (719) 676-3728
NPI enumeratedJanuary 7, 2008
Last updated in NPPESOctober 15, 2009
Mailing address3676 Parker Blvd, Suite 310, Pueblo, CO 81008-2212

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