Eidolon Medical Services Pllc

LBN: Eidolon Medical Services Pllc
Eidolon Medical Services Pllc is an health care organization with primary practice located at 1056 Eagleridge Blvd , Pueblo CO 81008-2159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eidolon Medical Services Pllc can be contacted via phone (719) 568-0815, or through Blom, Eric Edgerton via phone (719) 252-7734.

Contact Information

Primary practice address
1056 Eagleridge Blvd Pueblo CO 81008-2159
Phone: (719) 568-0815
Fax: (719) 631-2564
Website:
Map and Directions
Authorized official contact:
Name: Blom, Eric Edgerton Doctor of Medicine (MD)
Phone: (719) 252-7734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1770329633
LBN Legal business name Eidolon Medical Services Pllc
DBA Doing business as
Authorized official Blom, Eric Edgerton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2024
Last updated Jul 1st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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