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NPI Verification

National Provider Identifier: 1700043692

Gwynn Antonson, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4020 JERRY MURPHY RD

PUEBLO, CO 810011045

Phone: 719-546-3600

NPI Enumeration Date

May 19, 2008

NPI Number

1700043692

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Gwynn Antonson, D.o. - NPI 1700043692 | Provider Verification | HormoneMap