Phillip Thomas Rajadas
Physical Medicine & Rehabilitation Doctor Pain Medicine
201 S Mcculloch Blvd
Pueblo West
, Colorado 81007-2892
Phillip Thomas Rajadas
Physical Medicine & Rehabilitation Doctor Pain Medicine
201 S Mcculloch Blvd
Pueblo West
, Colorado 81007-2892
(719) 561-5378
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Phillip Thomas Rajadas
- Po Box 8867
- Pueblo, CO
- Zip : 81008-8867
- Fax : (719) 561-5378
- Phone : (719) 561-5377
Second Address
- Phillip Thomas Rajadas
- 201 S Mcculloch Blvd
- Pueblo West, CO
- Zip : 81007-2892
- Fax : (719) 561-5378
- Phone : (719) 561-5377
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 39112 | CO |
| N | 2081P2900X | Pain Medicine | 04-31652 | KS |
| N | 2081P2900X | Pain Medicine | 39112 | CO |
National Provider Identifier
| NPI | 1346242872 |
|---|---|
| Provider Name | Phillip Thomas Rajadas |
| First Address | Pueblo, CO 81008-8867 |
| Second Address | Pueblo West, CO 81007-2892 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 06/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13777777 | (05) | CO |
| 200362640A | (05) | KS |
| G83798 | (02) | |
| P00281502 | RR MEDICARE (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.