OrganizationActive
Premier Back Rehabilitation Center, PC
NPI 1598829327 · Orthopaedic Trauma Physician · Pueblo, CO
Provider details
- NPI number
- 1598829327
- Entity type
- Organization
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jere Sutton, Ceo Owner
Practice location
1515 Fortino Blvd Ste 150
Ste 150
Pueblo, CO 81008-1976
Phone: (719) 544-1161
Fax: (719) 544-1128
Mailing address
1515 Fortino Blvd Ste 150
Pueblo, CO 81008-1976
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.